Individual
CRYSTA REDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 COLLEGE PL, #316, NORFOLK, VA 23510-0914
(757) 615-3003
Mailing address
201 COLLEGE PL, #316, NORFOLK, VA 23510-0914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9442
VA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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