Healthcare Provider Details

I. General information

NPI: 1689451783
Provider Name (Legal Business Name): DESIREE ALEXANDRIA DARLINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BATTLEFIELD BLVD S STE 15309
CHESAPEAKE VA
23322-6619
US

IV. Provider business mailing address

351 FORT WORTH AVE APT 101
NORFOLK VA
23505-2637
US

V. Phone/Fax

Practice location:
  • Phone: 252-621-1366
  • Fax: 833-901-0431
Mailing address:
  • Phone: 610-203-2044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: