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Individual

CANDACE EARLS BEULIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(980) 785-1113
Mailing address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41723
VA
106S00000X
Behavior Technician

Other

Enumeration date
08/07/2018
Last updated
05/25/2022
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