Individual
JUSTIN MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
Mailing address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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