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Individual

TRANG THI MINH DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
10124 W BROAD ST STE A, GLEN ALLEN, VA 23060-3330
(804) 372-0151
(804) 912-2163
Mailing address
3300 LISTERBROOK CT, RICHMOND, VA 23230-1927
(404) 435-7780

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002331
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0133002331
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
01
1-21-56326
THE BEHAVIOR ANALYST CERTIFICATION BOARD
Enumeration date
02/08/2022
Last updated
02/08/2022
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