Ashantiana Wilshena, Jemila Jackson
Behavior Technician in Chesapeake, VA. Individual provider (NPI-1).
NPI number1164069886
StatusActive
Last updated in NPPESDec 1, 2019
Details
- NPI
- 1164069886
- Entity type
- Individual (NPI-1)
- Name
- Ashantiana Wilshena, Jemila Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2019
- Last updated
- Dec 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | A60633323 | VA | Yes |
Practice location
648 Independence Pkwy Ste 300Chesapeake, VA 23320-5208
Phone 757-776-0790
Mailing address
1408 Quiet CtPortsmouth, VA 23701-3618
Phone 757-289-9049
Other practice locations
648 Independence Pkwy Ste 300
Chesapeake, VA 23320-5208
Chesapeake, VA 23320-5208
Phone 757-776-0790
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