Individual
BRIANNA COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 490-3009
Mailing address
10 GREENBRIER RD # 0, PORTSMOUTH, VA 23707-1043
(706) 201-0661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-196963
VA
Other
Enumeration date
12/16/2021
Last updated
12/17/2021
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