Individual
HANNAH MAE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
10715 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 339-3640
(540) 898-1040
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(540) 339-3640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001990
VA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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