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NPI Code Detail

MEDICARE: HEATHER MARIE HOGSTON BCBA

MEDICARE: HEATHER MARIE HOGSTON BCBA
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
1103K00000XBehavior Analyst0133002692VA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1689267817
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE HOGSTON BCBA
Provider Business Mailing Address
First Line : 1525 TECHNOLOGY DR
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-5974
Country : US
Telephone Number : 757-609-2795
Fax Number :
Provider Business Practice Location Address
First Line : 1525 TECHNOLOGY DR
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-5974
Country : US
Telephone Number : 757-609-2795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 09/01/2022

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Directions to “ HEATHER MARIE HOGSTON BCBA” Practice Location

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