Individual
ELIZABETH KAY DEUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6328 BUCKNELL CIR, VIRGINIA BEACH, VA 23464-4420
(757) 450-8507
Mailing address
330 W BRAMBLETON AVE APT 1002, NORFOLK, VA 23510-1305
(804) 727-9843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002522
VA
106S00000X
Behavior Technician
RBT-19-90151
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225646490
EMPLOYER NPI
—
Enumeration date
11/30/2020
Last updated
08/02/2022
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