Healthcare Provider Details

I. General information

NPI: 1275412181
Provider Name (Legal Business Name): DAVID JOINER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 LINCOLNSHIRE PL
VIRGINIA BEACH VA
23464-6950
US

IV. Provider business mailing address

6325 N CENTER DR STE 121
NORFOLK VA
23502-0012
US

V. Phone/Fax

Practice location:
  • Phone: 904-710-1547
  • Fax: 813-512-2734
Mailing address:
  • Phone: 757-297-0114
  • 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: