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Contact Information

CHANELLE DOCTOR, M.ED, BCBA, LBA, RDT
4652 HAYGOOD RD STE C
VIRGINIA BEACH, VA23455-5447
 Phone: 757-655-7274
 Fax: 775-392-1245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for CHANELLE DOCTOR · (Female)

NPI Number 1538609300
Status Active
Credentials M.ED, BCBA, LBA, RDT
Entity Individual
Enumeration date 02/27/2017
Last updated 02/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0133001736
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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