Provider Demographics
NPI:1235809534
Name:LUNDQUIST, DARBY (RBT)
Entity Type:Individual
Prefix:
First Name:DARBY
Middle Name:
Last Name:LUNDQUIST
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 QUINCE PL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0769
Mailing Address - Country:US
Mailing Address - Phone:757-333-1861
Mailing Address - Fax:
Practice Address - Street 1:709 QUINCE PL
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0769
Practice Address - Country:US
Practice Address - Phone:757-333-1861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician