Individual
KELLEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
132 SHARPS RD, WILLIAMSBURG, VA 23188-2569
(757) 871-1361
Mailing address
132 SHARPS RD, WILLIAMSBURG, VA 23188-2569
(757) 871-1361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001239
VA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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