Individual
LIA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7143 STONEWALL PKWY, MECHANICSVILLE, VA 23111-1158
(804) 492-1375
Mailing address
5179 GERWYN CIR, SANDSTON, VA 23150-1966
(804) 624-0774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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