Individual
SARAI MEDINA BUNDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 271-6980
Mailing address
1053 OLD DAM NECK RD, VIRGINIA BEACH, VA 23454-5715
(757) 338-7708
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15512
VA
106S00000X
Behavior Technician
RBT-21-162538
VA
Other
Enumeration date
04/09/2021
Last updated
01/10/2025
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