Individual
JULIA PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4225 PORTSMOUTH BLVD STE B, CHESAPEAKE, VA 23321-2154
(530) 906-3347
Mailing address
11 KINGSBRIDGE WAY S APT D, CHESAPEAKE, VA 23322-5666
(951) 529-7920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-471124
VA
Other
Enumeration date
09/01/2025
Last updated
09/09/2025
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