Individual
MISS KADIJAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 490-3009
Mailing address
640 N PIPING ROCK RD, VIRGINIA BEACH, VA 23452-2922
(757) 633-5446
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160442
VA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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