Markia Jaylan Durr

Individual provider Active NPI Behavior Technician · Virginia Beach, VA

NPI 1003490202 · NPPES record last updated Jul 8, 2021

Key facts

NPI
1003490202
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone
(708) 890-4647
Fax
(708) 890-4647
NPI assigned
May 12, 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

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (877) 418-2978

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.