| Avila Residential Services, Inc. | |
|
545 E Stuart Dr Galax VA 24333-2218 | |
| (276) 238-7100 | |
| Not Available |
| Full Name | Avila Residential Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 545 E Stuart Dr, Galax, Virginia |
| Authorized Official Name and Position | Nick R Avila (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2762387100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avila Residential Services, Inc. 103 Country Club Ln Galax VA 24333-2318 Ph: (276) 238-7100 | Avila Residential Services, Inc. 545 E Stuart Dr Galax VA 24333-2218 Ph: (276) 238-7100 |
| NPI Number | 1225888092 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225888092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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