Tedra Bennafield
Behavior Technician in Yorktown, VA. Individual provider (NPI-1).
NPI number1972181980
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1972181980
- Entity type
- Individual (NPI-1)
- Name
- Tedra Bennafield
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3630 George Washington Mem Hwy Ste DYorktown, VA 23693-3350
Phone 757-690-9508
Mailing address
1130 Willow Green DrNewport News, VA 23602-7114
Phone 757-343-0523
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