Individual
BRANDI JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 THIMBLE SHOALS BLVD STE 302, NEWPORT NEWS, VA 23606-3562
(757) 901-0646
(877) 734-1914
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(866) 565-7222
(877) 734-1914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-319206
VA
Other
Enumeration date
11/29/2022
Last updated
03/18/2024
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