Individual
KATELYN O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
100 AMBUSH ST APT 310, YORKTOWN, VA 23693-5679
(631) 901-3711
Mailing address
388 HICKORY POINT BLVD, NEWPORT NEWS, VA 23608-1545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66138
NC
Other
Enumeration date
07/13/2018
Last updated
07/18/2023
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