Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0134000421 | VA |
NPI | 1104318005 |
---|---|
Provider Name | Brianna Faye Twitty |
First Address | Chesapeake, VA 23322-4425 |
Second Address | Virginia Beach, VA 23453-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2018 |
Last Update Date | 21/01/2022 |