Individual
LAURA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1125 NOBLE WALK CT, VIRGINIA BEACH, VA 23454-2200
(757) 636-5403
Mailing address
1125 NOBLE WALK CT, VIRGINIA BEACH, VA 23454-2200
(757) 636-5403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000162
VA
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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