Individual
KRISTI MICHELLE DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 897-0983
Mailing address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001758
VA
106S00000X
Behavior Technician
RBT-17-40603
TN
106S00000X
Behavior Technician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-40603
BACB
TN
Enumeration date
03/05/2018
Last updated
08/03/2020
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