Individual
HALEY ALYSSA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1130 TABB ST, NORFOLK, VA 23504-3434
(757) 800-5231
Mailing address
1 COLGATE CIR, HAMPTON, VA 23664-1813
(757) 324-6362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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