Individual
LORI BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4225 PORTSMOUTH BLVD STE B, CHESAPEAKE, VA 23321-2154
(757) 373-2324
Mailing address
120 BRAYVIEW DR, MOYOCK, NC 27958-9272
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000278
VA
Other
Enumeration date
12/29/2017
Last updated
11/27/2023
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