Individual
CALLIE NICOLE FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2076 S INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23453-4779
(757) 622-7272
Mailing address
300 GAMBRILL CT, VIRGINIA BEACH, VA 23462-7212
(406) 670-5505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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