| Beam Pediatric Therapy, Llc | |
|
14313 Brookmere Dr Centreville VA 20120-4106 | |
| (540) 455-3107 | |
| (844) 663-2433 |
| Full Name | Beam Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14313 Brookmere Dr, Centreville, Virginia |
| Authorized Official Name and Position | Amanda Faith Boettcher (EXECUTIVE DIRECTOR/BEHAVIOR ANALYST) |
| Authorized Official Contact | 5404553107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beam Pediatric Therapy, Llc 14313 Brookmere Dr Centreville VA 20120-4106 Ph: (540) 455-3107 | Beam Pediatric Therapy, Llc 14313 Brookmere Dr Centreville VA 20120-4106 Ph: (540) 455-3107 |
| NPI Number | 1295274082 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295274082 | NPI | - | NPPES |
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