Individual
SHA'KWON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 352-6232
Mailing address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 352-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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