Marjorie Jane Theobald, BCaBA/LaBA
Behavior Analyst in Fishersville, VA. Individual provider (NPI-1).
NPI number1730833773
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1730833773
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marjorie Jane Theobald
- Credential
- BCaBA/LaBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2022
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 0134000371 | VA | Yes |
Practice location
9 Pinnacle DrFishersville, VA 22939-2366
Phone 804-915-6400
Mailing address
11 Tanglewood RdPalmyra, VA 22963-3314
Phone 434-282-4831
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