Individual
VICTORIA ISABEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11824 FISHING POINT DR STE B, NEWPORT NEWS, VA 23606-2679
(888) 311-2496
Mailing address
2 MACIRVIN DR, NEWPORT NEWS, VA 23606-2123
(571) 251-7791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69059
VA
106S00000X
Behavior Technician
RBT-20-139917
TX
Other
Enumeration date
10/16/2020
Last updated
10/26/2023
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