Individual
KATHERINE GAIL VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 ARBORETUM PKWY #160, RICHMOND, VA 23236
(804) 912-1402
Mailing address
9201 ARBORETUM PKWY #160, RICHMOND, VA 23236
(804) 912-1340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-09346
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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