Individual
MR. JAYSON TREVON LEE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(877) 418-2978
Mailing address
1121 NIPIGON CT, VIRGINIA BEACH, VA 23454-6736
(757) 343-3519
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
VA
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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