Individual
MEGAN LEE DORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
491 HILLSIDE DR., CHARLOTTESVILLE, VA 22901
(434) 923-8252
Mailing address
491 HILLSIDE DR., CHARLOTTESVILLE, VA 22901
(434) 923-8252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002093
VA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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