Individual
DEBORAH EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 21ST ST, VIRGINIA BEACH, VA 23451-4119
(808) 304-5117
Mailing address
526 21ST ST, VIRGINIA BEACH, VA 23451-4119
(808) 304-5117
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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