Individual
MRS. KEISHA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(704) 877-5835
Mailing address
301 STONE CV, SUFFOLK, VA 23435-3238
(704) 877-5835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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