Individual
LISA BRANCHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 NORMAN RD, PORTSMOUTH, VA 23703-4925
(757) 651-2655
(757) 651-2655
Mailing address
4532 NORMAN RD, PORTSMOUTH, VA 23703-4925
(757) 651-2655
(757) 651-2655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000561
VA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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