Individual
LAKISHA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 LISBON CT, APT 101, VIRGINIA BEACH, VA 23462-3183
(757) 615-3003
Mailing address
101 LISBON CT, APT 101, VIRGINIA BEACH, VA 23462-3183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7084
VA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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