Individual
CHRISTINE MCLALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3126 W CARY ST # 160, RICHMOND, VA 23221-3504
(804) 557-0881
Mailing address
9101 WINFIELD CT, FREDERICKSBURG, VA 22408-1748
(330) 987-7166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32686
VA
106E00000X
Assistant Behavior Analyst
0-18-8726
VA
106S00000X
Behavior Technician
RBT-16-14444
VA
Other
Enumeration date
04/05/2018
Last updated
12/17/2018
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