Individual
JACQUELINE DONAGHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
5408 CHAMBERLAYNE RD, RICHMOND, VA 23227-2407
(571) 233-5924
Mailing address
5408 CHAMBERLAYNE RD, RICHMOND, VA 23227-2407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000144
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600876066
—
VA
Enumeration date
01/19/2016
Last updated
01/19/2016
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