Individual
PERLA HANNELORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 WINDSOR AVE SW, ROANOKE, VA 24015-5014
(212) 444-2488
Mailing address
730 WINDSOR AVE SW, ROANOKE, VA 24015-5014
(212) 444-2488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004112
VA
103K00000X
Behavior Analyst
—
ME
Other
Enumeration date
09/23/2024
Last updated
06/24/2025
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