Individual
MRS. KELLY SPAHR WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
219 E ATLANTIC ST, SOUTH HILL, VA 23970-2003
(540) 312-8814
Mailing address
513 BEECHWOOD RD, BRACEY, VA 23919-1630
(540) 312-8814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003639
VA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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