Individual
MRS. LISSA DAWN HOPRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1301 KINGS CREST DR, SALEM, VA 24153-5114
(540) 588-9582
(540) 380-8155
Mailing address
1301 KINGS CREST DR, SALEM, VA 24153-5114
(540) 588-9582
(540) 380-8155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9221
VA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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