Individual
DEUNTAE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(888) 880-9270
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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