Kiawna Chez Brinson

Individual provider Active NPI Day Training/Habilitation Specialist · Carrollton, VA

NPI 1962968362 · NPPES record last updated Feb 11, 2019

Key facts

NPI
1962968362
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
101 Herons CV
Carrollton, VA 23314-3487
Phone
(757) 769-5801
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
Yes

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
Day Training/Habilitation Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
373H00000X Yes

Addresses

Primary practice location

101 Herons CV
Carrollton, VA 23314-3487

Mailing address

101 Herons CV
Carrollton, VA 23314-3487
Phone (757) 769-5801

Other identifiers

IdentifierTypeStateIssuer
NONEOtherVANONE

Other providers in Carrollton, VA

All providers in Carrollton, VA · Day Training/Habilitation Specialist in Virginia

Sources for this page

Verify at the official NPI Registry.