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Individual

EBONY N WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
732 EDEN WAY N # E563, CHESAPEAKE, VA 23320-2798
(540) 915-2114
(757) 951-2731
Mailing address
732 EDEN WAY N STE E563, CHESAPEAKE, VA 23320-2798
(540) 915-2114
(757) 951-2731

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53687
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1-21-53687
VA
Enumeration date
07/30/2019
Last updated
10/07/2023
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