| 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 |
|---|---|
| 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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