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Individual

KENDALL BUONVIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA, LABA

Contact information

Practice address
4016 RAINTREE RD, CHESAPEAKE, VA 23321-3700
(757) 465-3933
Mailing address
4016 RAINTREE RD, CHESAPEAKE, VA 23321-3700
(757) 465-3933

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000203
VA

Other

Enumeration date
04/04/2018
Last updated
09/06/2019
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