Autism Outreach Inc. | |
21680 Ridgetop Cir Ste 100 Sterling VA 20166-4292 | |
(703) 689-0019 | |
(703) 689-0039 |
Full Name | Autism Outreach Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 21680 Ridgetop Cir Ste 100, Sterling, Virginia |
Authorized Official Name and Position | Kellie Ann Odonnell (BILLING MANAGER) |
Authorized Official Contact | 7036890019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Outreach Inc. 21680 Ridgetop Cir Ste 100 Sterling VA 20166-4292 Ph: (703) 689-0019 | Autism Outreach Inc. 21680 Ridgetop Cir Ste 100 Sterling VA 20166-4292 Ph: (703) 689-0019 |
NPI Number | 1639415912 |
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Provider Enumeration Date | 12/14/2012 |
Last Update Date | 11/04/2022 |
Certification Date | 11/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639415912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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