Kelly Larue, RBT
Behavior Technician in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1124534201
StatusActive
Last updated in NPPESDec 27, 2017
Details
- NPI
- 1124534201
- Entity type
- Individual (NPI-1)
- Name
- Kelly Larue
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2017
- Last updated
- Dec 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-15-3084-15897 | VA | Yes |
Practice location
4224 Holland Rd Ste 106Virginia Beach, VA 23452-1900
Phone 757-416-5290 · Fax 757-416-5290
Mailing address
4224 Holland Rd Ste 106Virginia Beach, VA 23452-1900
Phone 757-416-5290
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