Kelly Koons BCBA

NPI 1700113941 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1700113941
Gender Female
Enumeration Date 11/09/2009
Last Updated 11/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1345 NORTHVALE DR
VIRGINIA BEACH VA, 23464-8806, US
Phone (757) 615-3003
Fax (757) 474-0987
Business Location
1345 NORTHVALE DR
VIRGINIA BEACH VA, 23464-8806, US
Phone
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number 1-09-5500
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According to our database, Kelly Koons BCBA NPI is 1700113941, taxonomy code is 103K00000X and license number is 1-09-5500, license state is located at . Kelly Koons BCBA physically located at 1345 Northvale Dr, Virginia Beach VA, 23464-8806. NPI Number Kelly Koons BCBA has the Individual type.

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1700113941 NPI number is provided on an as is basis without warranty of any kind. 1700113941 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Koons BCBA are for informational purposes only.