Individual
TINA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CHANDLER DR, CHESAPEAKE, VA 23322-3838
(757) 615-3003
Mailing address
420 CHANDLER DR, CHESAPEAKE, VA 23322-3838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10352
VA
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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