Individual
ISABELLA MOUTINHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 MIDLANDS RD, WILLIAMSBURG, VA 23188-2575
(757) 585-3216
Mailing address
3925 MIDLANDS RD, WILLIAMSBURG, VA 23188-2575
(757) 585-3216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130440
VA
Other
Enumeration date
09/03/2021
Last updated
12/05/2022
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