Individual
BRIAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 FOREST HILL AVE, RICHMOND, VA 23225-3246
(312) 965-2997
(312) 929-0324
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
(312) 965-2997
(312) 929-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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