Individual
AMY DALTON PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2486 RIVERMONT AVE, LYNCHBURG, VA 24503-1549
(434) 509-0208
Mailing address
3701 SHERWOOD PL, LYNCHBURG, VA 24503-2521
(434) 509-0208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000656
VA
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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