Individual
KIMBERLY HETSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 266-7643
Mailing address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002071
VA
103K00000X
Behavior Analyst
BH003711
PA
103K00000X
Behavior Analyst
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-34950
BACB
—
Enumeration date
03/25/2019
Last updated
06/26/2026
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