Individual
DANIELLE M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3575 SIERRA ARCH, VIRGINIA BEACH, VA 23453-2203
(757) 287-1833
Mailing address
1500 VICTORY BLVD, PORTSMOUTH, VA 23702-3121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
VA
Enumeration date
07/19/2021
Last updated
07/19/2021
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