Individual
JOY EZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, BCABA, LABA
Contact information
Practice address
312 WHITWELL DR, ROANOKE, VA 24019-2039
(540) 366-7399
Mailing address
312 WHITWELL DR, ROANOKE, VA 24019-2039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000026
VA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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