Provider Demographics
NPI:1023691987
Name:STOWE, VIRGINIA (RBT)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:STOWE
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 1:1721 BISHOP MEADE RD
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:VA
Mailing Address - Zip Code:22620-2544
Mailing Address - Country:US
Mailing Address - Phone:540-686-2939
Mailing Address - Fax:
Practice Address - Street 1:19723 RIDGESIDE RD
Practice Address - Street 2:
Practice Address - City:BLUEMONT
Practice Address - State:VA
Practice Address - Zip Code:20135-2028
Practice Address - Country:US
Practice Address - Phone:703-576-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-20-130004106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician