NPI 1114745171

Autumn Faith Rae

Practitioner Assistant Behavior Analyst Chesapeake, VA

Practice location

Address: 729 Shell Rd, Chesapeake, VA 23323-3236
Phone: (757) 803-7727

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1114745171
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2024
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.