Individual
KAILEY LOVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
611 STATION SQUARE CT, CHESAPEAKE, VA 23320-0705
(757) 404-4840
Mailing address
PO BOX 2956, CHESAPEAKE, VA 23327-2956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-424344
VA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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