Individual
BAILEY MATTHEW CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 BLUECRAB RD STE G, NEWPORT NEWS, VA 23606-2578
(888) 467-8241
Mailing address
105 MID OCEAN, WILLIAMSBURG, VA 23188-8414
(757) 769-6981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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