Individual
BRENNA STICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 CLEVEND PLACE, VIRGINIA BEACH, VA 23452
(757) 416-5290
Mailing address
380 CLEVEND PLACE, VIRGINIA BEACH, VA 23452
(757) 416-5290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96159
VA
Other
Enumeration date
08/23/2019
Last updated
05/28/2024
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