Individual
KEVIN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 737-7578
Mailing address
4600 BROAD ST APT 102, VIRGINIA BEACH, VA 23462-2810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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