Individual
PAMELA LYN REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1108 EDEN WAY N STE E, CHESAPEAKE, VA 23320-3339
(703) 596-9332
(540) 744-1091
Mailing address
18025 GRAND PROSPERITY DR, VENICE, FL 34293-4966
(703) 596-2237
(540) 744-1091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001513
VA
Other
Enumeration date
10/08/2019
Last updated
04/25/2024
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