Individual
MRS. ALEKSANDRA FENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
611 STATION SQUARE CT, CHESAPEAKE, VA 23320-0705
(757) 895-2673
Mailing address
611 STATION SQUARE CT, CHESAPEAKE, VA 23320-0705
(757) 895-2673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133001924
STATE LISENCE
VA
Enumeration date
05/30/2018
Last updated
09/30/2024
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