Katelin Victoria Wines

NPI #1740091594 in Forest, Virginia

Provider Information

NPI Number: 1740091594
Entity Type: Individual
Name: Katelin Victoria Wines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 2001 ENTERPRISE DR
City: Forest
State: Virginia
ZIP Code: 24551-2653
Phone: (434) 386-8983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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