Individual
JARAE NASHOUWN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3010
(757) 639-2218
(866) 594-3899
Mailing address
2056 MILLVILLE RD, CHESAPEAKE, VA 23323-5309
(317) 410-4757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-124667
IN
Other
Enumeration date
06/22/2020
Last updated
05/07/2021
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