| Advanced Autism Services Va Llc | |
|
780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 | |
| (602) 584-9860 | |
| (602) 715-1135 |
| Full Name | Advanced Autism Services Va Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, Virginia |
| Authorized Official Name and Position | Malka Hersko (DIRECTOR) |
| Authorized Official Contact | 6025849860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Autism Services Va Llc 36 Airport Rd Ste 105 Lakewood NJ 08701-7034 Ph: () - | Advanced Autism Services Va Llc 780 Lynnhaven Pkwy Ste 400 Virginia Beach VA 23452-7332 Ph: (602) 584-9860 |
| NPI Number | 1033785340 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 06/28/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033785340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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