Individual
MRS. SHAWNA RAE MIEHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
638 INDEPENDENCE PKWY, CHESAPEAKE, VA 23320-5216
(757) 276-9800
Mailing address
9625 CAPEVIEW AVE, NORFOLK, VA 23503-2601
(720) 409-2112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000182
VA
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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