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Individual

AKILIA NEWBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6330 N CENTER DR STE 200, NORFOLK, VA 23502-4008
(757) 490-3009
Mailing address
101 GATEWAY CT APT 206, CHESAPEAKE, VA 23320-5075
(757) 254-2439

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT
RBT-21-170066
Enumeration date
06/02/2021
Last updated
10/08/2021
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