Individual
MR. DAMON KEITH ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4100 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3379
(804) 674-8888
Mailing address
9428 MORRISDALE WAY, MECHANICSVILLE, VA 23116-2321
(804) 334-4512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-55288
VA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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