Individual
MADISON MARIE HUNNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 INDEPENDENCE PKWY STE 300, CHESAPEAKE, VA 23320-5208
(757) 776-0790
Mailing address
1115 HILLSIDE AVE APT 4, NORFOLK, VA 23503-2073
(757) 405-4979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810187660035
—
VA
Enumeration date
01/06/2021
Last updated
01/06/2021
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