Individual
LEESHIRA NICOLE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 EDEN WAY N, CHESAPEAKE, VA 23320-3339
(708) 596-9332
Mailing address
1744 POPE AVE, NORFOLK, VA 23509-1040
(256) 616-6460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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