Individual
AMY NICOLE BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 STONEY RIDGE RD, MIDLOTHIAN, VA 23112-4533
(804) 687-5097
Mailing address
3615 STONEY RIDGE RD, MIDLOTHIAN, VA 23112-4533
(804) 687-5097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
04/30/2024
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