Individual
KIMBERLY HETSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320
(757) 378-6925
(855) 568-2494
Mailing address
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
(757) 378-6925
Taxonomy
Speciality
Code
Description
License number
State
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
10/28/2022
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