| Autism Bright Futures, Inc. | |
|
237 Hanbury Rd E Ste. 17-197 Chesapeake VA 23322-6621 | |
| (757) 296-0442 | |
| (252) 565-0061 |
| Full Name | Autism Bright Futures, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 237 Hanbury Rd E, Chesapeake, Virginia |
| Authorized Official Name and Position | Lorena Decker (DIRECTOR) |
| Authorized Official Contact | 7572960442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Bright Futures, Inc. 237 Hanbury Rd E Ste. 17-197 Chesapeake VA 23322-6621 Ph: (757) 296-0442 | Autism Bright Futures, Inc. 237 Hanbury Rd E Ste. 17-197 Chesapeake VA 23322-6621 Ph: (757) 296-0442 |
| NPI Number | 1548647431 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548647431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18427 (North Carolina) | Primary |
| 103K00000X | Behavior Analyst | 1-15-18427 (Virginia) | Secondary |
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