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Individual

KANDACE-MA'AT HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2920 W BROAD ST STE 215, RICHMOND, VA 23230-5103
(804) 988-1150
Mailing address
1215 RENNIE AVE, RICHMOND, VA 23227-4722
(804) 874-2256

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0134000479
VA
106E00000X
Assistant Behavior Analyst
Primary
0134000479
VA

Other

Enumeration date
02/13/2023
Last updated
01/02/2025
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