Individual
KALEIGH ELYSE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(754) 264-0838
Mailing address
2301 BEACH HAVEN DR APT 303, VIRGINIA BEACH, VA 23451-1255
(757) 576-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
06/06/2019
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