Individual
MS. KANELLE MCMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 FISHING POINT DR STE 202, NEWPORT NEWS, VA 23606-2585
(757) 206-2850
Mailing address
11835 FISHING POINT DR STE 202, NEWPORT NEWS, VA 23606-2585
(757) 206-2850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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