Individual
KIANA D CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 PADDINGTON CT, NEWPORT NEWS, VA 23608-9378
(757) 447-8100
Mailing address
804 PADDINGTON CT, NEWPORT NEWS, VA 23608-9378
(757) 447-8100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-139582
VA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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