Individual
CASEY BUCENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
120 BOWERY ST, #308, VIRGINIA BEACH, VA 23462-3756
(757) 750-1580
(757) 962-8888
Mailing address
615 NOTTAWAY DR, CHESAPEAKE, VA 23320-4846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TBD
VA
Other
Enumeration date
01/13/2015
Last updated
10/26/2021
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