Individual
SELORM AFOA AUGUSTT-POTAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 ABBERLY CIR APT 4120, MIDLOTHIAN, VA 23114-3272
(804) 704-2309
Mailing address
2110 ABBERLY CIR APT 4120, MIDLOTHIAN, VA 23114-3272
(804) 704-2309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003457
VA
103K00000X
Behavior Analyst
1350
TN
106S00000X
Behavior Technician
—
TN
Other
Enumeration date
05/11/2021
Last updated
08/21/2025
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