Individual
CAITLYN BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6245 UNIVERSITY PARK DR, RADFORD, VA 24141-8632
(540) 348-4808
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(540) 348-4808
(540) 838-2102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002374
VA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/05/2015
Last updated
10/29/2024
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