Individual
FELICIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20566 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502-7221
(434) 239-4400
Mailing address
20566 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502-7221
(434) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-200428
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-22-200428
—
VA
Enumeration date
01/25/2022
Last updated
01/25/2022
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