Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-20-11680 | VA |
N | 106S00000X | Behavior Technician | RBT-18-50795 | VA |
NPI | 1124587639 |
---|---|
Provider Name | Brittany Testerink |
First Address | Virginia Beach, VA 23456-2436 |
Second Address | Chesapeake, VA 23320-8134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2019 |
Last Update Date | 06/01/2021 |