Individual
JENNIFER LEA NORMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
416 CAMPBELL AVE SW STE 103, ROANOKE, VA 24016-3627
(540) 366-7399
Mailing address
416 CAMPBELL AVE SW STE 103, ROANOKE, VA 24016-3627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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