Most Relevant Information
Provider Data
| NPI Number: | 1003404302 |
| Provider Name: | PAMELA MARIE PERDUE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2021 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
655 NOVELLA RD
HARDY
VA
241015802
Practice Location Phone/Fax
| Phone: | 5404940209 |
| Fax: |
Provider Mailing Location
655 NOVELLA RD
HARDY
VA
241015802
Provider Mailing Phone/Fax
| Phone: | 5404940209 |
| Fax: |