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Individual

MS. CHARLENE HEARNE WENTLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA, PBIS-F

Contact information

Practice address
2019 CUNNINGHAM DRIVE, HAMPTON, VA 23666
(757) 788-8033
(757) 788-8636
Mailing address
424 ZELKOVA ROAD, WILLIAMSBURG, VA 23185
(757) 817-7125

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17599
VA

Other

Enumeration date
11/12/2020
Last updated
11/12/2020
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