Individual
ANNA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
105 W PINE ST, WYTHEVILLE, VA 24382-1937
(804) 523-6245
(804) 264-0835
Mailing address
5511 STAPLES MILL RD STE 102, HENRICO, VA 23228-5445
(804) 523-6245
(804) 264-0835
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000662
VA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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