Individual
BRITTANY YOUNGBLOOD LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
4914 FALCON NEST PL APT 203, HAMPTON, VA 23666-0847
(252) 622-9928
Mailing address
2206 EXECUTIVE DR STE A, HAMPTON, VA 23666-2583
(757) 664-9778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
77365
NC
Other
Enumeration date
02/02/2019
Last updated
09/20/2023
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