Individual
MRS. LAVINIA A. MICHAEL-BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-L
Contact information
Practice address
7583 VINCENT DR, TOANO, VA 23168
(321) 427-0149
Mailing address
7583 VINCENT DR, TOANO, VA 23168-9042
(321) 427-0149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
04/18/2019
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