Individual
FATOUMATA DIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
Mailing address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
18-69161
VA
Other
Enumeration date
02/14/2019
Last updated
09/25/2019
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