Individual
MADHUMATHI ANNAMRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11824 FISHING POINT DR STE B, NEWPORT NEWS, VA 23606-2679
(804) 683-5194
Mailing address
24190 LENAH WOODS PL, ALDIE, VA 20105-2369
(516) 508-6661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001429
VA
Other
Enumeration date
06/19/2019
Last updated
08/22/2023
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