Individual
ELLEN NICOLE-BOONE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA, LABA
Contact information
Practice address
5500 CHAMBERLAYNE AVE, RICHMOND, VA 23227-2207
(410) 253-0010
(804) 716-7186
Mailing address
226 FOREST AVE, RICHMOND, VA 23223
(410) 253-0010
(804) 716-7186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000033
VA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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