Autism Specialist Llc | |
4448 Labrador Ct Amissville VA 20106-2218 | |
(571) 277-9357 | |
Not Available |
Full Name | Autism Specialist Llc |
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Speciality | Behavior Analyst |
Location | 4448 Labrador Ct, Amissville, Virginia |
Authorized Official Name and Position | Erin Utterback (FOUNDER) |
Authorized Official Contact | 5712779357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autism Specialist Llc 4448 Labrador Ct Amissville VA 20106-2218 Ph: () - | Autism Specialist Llc 4448 Labrador Ct Amissville VA 20106-2218 Ph: (571) 277-9357 |
NPI Number | 1083072904 |
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Provider Enumeration Date | 02/06/2016 |
Last Update Date | 02/06/2016 |
Identifier | Type | State | Issuer |
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1083072904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 0156470 (Virginia) | Primary |
Atlantic Telehealth, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14820 Lee Hwy, Amissville, VA 20106 Phone: 571-249-2493 | |
Wildflower Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Jordans Rd, Amissville, VA 20106 Phone: 254-640-6438 |