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Individual

ANDREW NICOLAS PROCTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4417 CORPORATION LN STE 300, VIRGINIA BEACH, VA 23462-3477
(757) 490-3009
Mailing address
432 BABBLING BROOK DR, VIRGINIA BEACH, VA 23462-5113

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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