Individual
RACHEL TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
Mailing address
5151 BONNEY RD STE 107, VIRGINIA BEACH, VA 23462-4384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000204
VA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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