Individual
KATINA ARCHERFAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 CRISTON DR, NEWPORT NEWS, VA 23602-5102
(520) 221-8810
Mailing address
2226 CRISTON DR, NEWPORT NEWS, VA 23602-5102
(520) 221-8810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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