Individual
COURTNEY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 GAYTON RD STE 103, HENRICO, VA 23238-8203
(804) 610-2332
Mailing address
356 GARDNERS RD, MINERAL, VA 23117-2921
(804) 338-7259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
10/23/2024
Last updated
02/18/2025
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