Individual
AUDREY A RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E CHICKASAW RD, VIRGINIA BEACH, VA 23462-3906
(757) 450-8507
Mailing address
215 E CHICKASAW RD, VIRGINIA BEACH, VA 23462-3906
(757) 450-8507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000414
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB438846
BCBA
—
01
—
RBT-18-59657
RBT
VA
Enumeration date
01/06/2019
Last updated
05/25/2022
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