Individual
CRAIG A COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3200
(804) 553-3312
Mailing address
8000 BROOK RD, RICHMOND, VA 23227-1306
(804) 553-3200
(804) 553-3312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000034
VA
103TB0200X
Cognitive & Behavioral Psychologist
0-04-1543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041543
—
VA
Enumeration date
11/29/2006
Last updated
07/29/2013
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