Individual
HOLLY EDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBSF
Contact information
Practice address
902 SMITHFIELD AVE, HOPEWELL, VA 23860-4616
(804) 239-6352
Mailing address
902 SMITHFIELD AVE, HOPEWELL, VA 23860-4616
(804) 239-6352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
233
VA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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