Autism Care Group Llc | |
13160 Piedmont Vista Dr Haymarket VA 20169-2642 | |
(571) 488-8107 | |
(571) 408-4966 |
Full Name | Autism Care Group Llc |
---|---|
Speciality | Behavior Analyst |
Location | 13160 Piedmont Vista Dr, Haymarket, Virginia |
Authorized Official Name and Position | Faisal Tarakhail (ADMIN) |
Authorized Official Contact | 5714888107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Care Group Llc 13160 Piedmont Vista Dr Haymarket VA 20169-2642 Ph: (571) 488-8107 | Autism Care Group Llc 13160 Piedmont Vista Dr Haymarket VA 20169-2642 Ph: (571) 488-8107 |
NPI Number | 1982331955 |
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Provider Enumeration Date | 08/01/2022 |
Last Update Date | 08/01/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982331955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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