Autism First Llc | |
156 Alexandria Pike Warrenton VA 20186-2810 | |
(703) 496-4371 | |
Not Available |
Full Name | Autism First Llc |
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Speciality | Behavior Analyst |
Location | 156 Alexandria Pike, Warrenton, Virginia |
Authorized Official Name and Position | Debbie Dubensky (BILLER) |
Authorized Official Contact | 2488086413 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Autism First Llc 156 Alexandria Pike Warrenton VA 20186-2810 Ph: (703) 496-4371 | Autism First Llc 156 Alexandria Pike Warrenton VA 20186-2810 Ph: (703) 496-4371 |
NPI Number | 1497343701 |
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Provider Enumeration Date | 01/04/2021 |
Last Update Date | 01/18/2021 |
Certification Date | 01/18/2021 |
Medicare PECOS PAC ID | 7618383324 |
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Medicare Enrollment ID | O20210304000168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497343701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Provider Name | Kelli M Atangan |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1932420759 PECOS PAC ID: 2769898477 Enrollment ID: I20210304000335 |
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