Individual
JOYCE ANN WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 OWENS WAY STE 200, PRINCE GEORGE, VA 23875-2366
(804) 458-5500
(804) 458-5501
Mailing address
PO BOX 247, PRINCE GEORGE, VA 23875-0247
(804) 458-5500
(804) 458-5501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166861
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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