Pamela Marie Perdue

Individual provider Active NPI Behavior Technician · Hardy, VA

NPI 1003404302 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1003404302
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
655 Novella Rd
Hardy, VA 24101-5802
Phone
(540) 494-0209
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

655 Novella Rd
Hardy, VA 24101-5802

Mailing address

655 Novella Rd
Hardy, VA 24101-5802
Phone (540) 494-0209

Other practice location 1

655 Novella Rd
Hardy, VA 24101-5802
Phone (540) 494-0209

Other providers in Hardy, VA

All providers in Hardy, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.