Individual
MS. HEIDI LYNN CALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5472 KINGS DR, GLOUCESTER, VA 23061-2906
(804) 824-2396
(804) 824-2397
Mailing address
5472 KINGS DR, GLOUCESTER, VA 23061-2906
(804) 824-2396
(804) 824-2397
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-10205
VA
103K00000X
Behavior Analyst
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Other
Enumeration date
06/27/2014
Last updated
11/08/2021
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