Individual
KAYLA PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 HENSON AVE, PEARISBURG, VA 24134-1922
(540) 235-7335
Mailing address
1104 HENSON AVE, PEARISBURG, VA 24134-1922
(540) 235-7335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-193525
VA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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