Individual
JENNIFER L MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5153 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(804) 544-9044
Mailing address
2810 COLISEUM CENTRE DR STE 520, CHARLOTTE, NC 28217-3345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003490
VA
Other
Enumeration date
12/09/2016
Last updated
03/14/2024
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