Mrs. Mykiesha Renae Moultry
Mrs. Mykiesha Renae Moultry is a Behavior Technician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2022.
- Licensed in
- VA
- In the registry since
- 2022
Practice location Address checks out
780 Lynnhaven Pkwy Ste 400Virginia Beach, VA 23452-7332
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (VA) |
|---|
Record details
| NPI number | 1902538911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |
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