Individual
JACQUELYN BURRIESCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12727 MCMANUS BLVD, STE G, NEWPORT NEWS, VA 23602-2360
(757) 869-4162
Mailing address
101 N MARAGRET CT, YORKTOWN, VA 23692-2275
(570) 766-9652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000414
VA
Other
Enumeration date
11/13/2014
Last updated
04/06/2020
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