Individual
TERI DIANE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1820 CASTLETON CT, VIRGINIA BEACH, VA 23454-5765
(757) 778-3895
(888) 356-3082
Mailing address
1820 CASTLETON CT, VIRGINIA BEACH, VA 23454-5765
(757) 778-3895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001492
VA
Other
Enumeration date
09/17/2019
Last updated
03/28/2022
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