| Aba4autism,llc | |
|
15667 Ryder Cup Dr Haymarket VA 20169-6162 | |
| (603) 732-3415 | |
| Not Available |
| Full Name | Aba4autism,llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15667 Ryder Cup Dr, Haymarket, Virginia |
| Authorized Official Name and Position | Perry Olson (OWNER) |
| Authorized Official Contact | 6037323415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba4autism,llc 5501 Merchants View Sq Ste 743 Haymarket VA 20169-5439 Ph: (603) 732-3415 | Aba4autism,llc 15667 Ryder Cup Dr Haymarket VA 20169-6162 Ph: (603) 732-3415 |
| NPI Number | 1891233763 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891233763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-19329 (New Hampshire) | Primary |
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