Casey L Jack
Casey L Jack is a Behavior Analyst in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
780 Lynnhaven PkwyVirginia Beach, VA 23452-7332
Phone: (757) 301-9065
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 0133002731 (VA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-20-123485 (VA) |
Record details
| NPI number | 1205426459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 21, 2021 |
| Last updated in NPPES | October 2, 2022 |
| Certification date | October 2, 2022 |
| Mailing address | 335 Darby Ave, Hampton, VA 23663-1305 |
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