| Autism Spectrum Therapy Llc | |
|
6401 Crescent Way Apt 301 Norfolk VA 23513-1454 | |
| (757) 469-3773 | |
| (757) 257-9523 |
| Full Name | Autism Spectrum Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6401 Crescent Way Apt 301, Norfolk, Virginia |
| Authorized Official Name and Position | Amber Zooberg (PRESIDENT/ BCBA) |
| Authorized Official Contact | 7574693773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Spectrum Therapy Llc 6401 Crescent Way Apt 301 Norfolk VA 23513-1454 Ph: (757) 469-3773 | Autism Spectrum Therapy Llc 6401 Crescent Way Apt 301 Norfolk VA 23513-1454 Ph: (757) 469-3773 |
| NPI Number | 1720349087 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720349087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-10-7863 (Virginia) | Primary |
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