Individual
JUSTICE TIJIA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 PRINCESS ANNE STREET, FREDERICKSBURG, VA 22401
(540) 922-1110
Mailing address
2611 EVERGREEN PL, PORTSMOUTH, VA 23704-6315
(757) 737-0077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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