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Individual

KEVIN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
904 PRINCESS ANNE ST STE 204, FREDERICKSBURG, VA 22401-5801
(703) 229-4216
Mailing address
904 PRINCESS ANNE ST STE 204, FREDERICKSBURG, VA 22401-5801

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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