Individual
KEONA SHANTEA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
4310 TERRY DR, CHESAPEAKE, VA 23321-4548
(757) 266-9088
Mailing address
4310 TERRY DR, CHESAPEAKE, VA 23321-4548
(757) 266-9088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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