Individual
ALEXANDRA TOLLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 CAMPUS DR, VIRGINIA BEACH, VA 23462-7301
(757) 553-2850
Mailing address
5500 CAMPUS DR, VIRGINIA BEACH, VA 23462-7301
(757) 553-2850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB843907
VA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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