Individual
BEATRIZ ELENA PENAGOS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 410, VIRGINIA BEACH, VA 23452-7332
(757) 689-3134
Mailing address
468 PEREGRINE ST, VIRGINIA BEACH, VA 23462-1858
(305) 824-7049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-143075
VA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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