Individual
KEVIN SCOTT LOVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSISTANT BEHAVIOR A
Contact information
Practice address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112-3300
(804) 744-1114
(804) 893-3721
Mailing address
7850 WINDING ASH PL, CHESTERFIELD, VA 23832-2610
(804) 937-0955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001287
VA
103K00000X
Behavior Analyst
0134000230
VA
Other
Enumeration date
08/06/2018
Last updated
01/11/2019
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