Individual
NEVA MCKENZIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 RHL STE 202A, SOUTH CHARLESTON, WV 25309-8302
(681) 313-8003
(202) 217-3172
Mailing address
301 RHL STE 202A, SOUTH CHARLESTON, WV 25309-8302
(681) 313-8003
(202) 217-3172
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
G071572
WV
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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