Individual
JENNY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 WALNUT AVE, CHESAPEAKE, VA 23325-3735
(757) 289-7978
Mailing address
1321 WALNUT AVE, CHESAPEAKE, VA 23325-3735
(757) 289-7978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003255
VA
Other
Enumeration date
05/16/2022
Last updated
02/25/2026
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