Individual
VANESSA MYA MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 INDEPENDENCE PKWY STE C, CHESAPEAKE, VA 23320-5206
(757) 776-0790
Mailing address
648 INDEPENDENCE PKWY STE C, CHESAPEAKE, VA 23320-5206
(757) 776-0790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A67163858
VA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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