Individual
NATALIE DIANE YACENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 215-0535
(540) 206-2109
Mailing address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(276) 970-1794
(540) 206-2109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001247
VA
Other
Enumeration date
11/08/2018
Last updated
11/20/2023
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