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Individual

SIERRA M COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
9902 MAGNOLIA POINTE CT, GLEN ALLEN, VA 23059-6534
(336) 428-1729
Mailing address
104 N ARTHUR ASHE BLVD, RICHMOND, VA 23220-4333

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000277
VA
106S00000X
Behavior Technician
RBT-17-44240
VA

Other

Enumeration date
01/31/2018
Last updated
08/09/2019
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