| Autism Therapy, Llc | |
|
14608 Thera Way Centreville VA 20120-3451 | |
| (703) 286-9878 | |
| Not Available |
| Full Name | Autism Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14608 Thera Way, Centreville, Virginia |
| Authorized Official Name and Position | Abdul Mateen Yousufzai (OWNER) |
| Authorized Official Contact | 7032869878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Therapy, Llc 14608 Thera Way Centreville VA 20120-3451 Ph: (703) 286-9878 | Autism Therapy, Llc 14608 Thera Way Centreville VA 20120-3451 Ph: (703) 286-9878 |
| NPI Number | 1730839887 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/27/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730839887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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