Individual
KRIS A DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3010
(757) 639-2218
Mailing address
11 TRAVIS PL, PORTSMOUTH, VA 23702-3137
(423) 834-4018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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