MEDICARE: DARLENE CHARLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1235085184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE CHARLES

Provider Business Mailing Address
First Line	:	1709 FREENEY AVE
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-3229
Country	:	US
Telephone Number	:	239-641-0132
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 CORPORATION LN # 350
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3162
Country	:	US
Telephone Number	:	757-490-3009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ DARLENE CHARLES ” Practice Location

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