Blue Ridge Autism Care | |
210 Campbell Rd Keswick VA 22947-2109 | |
(619) 602-0965 | |
Not Available |
Full Name | Blue Ridge Autism Care |
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Speciality | Behavior Analyst |
Location | 210 Campbell Rd, Keswick, Virginia |
Authorized Official Name and Position | Susan Beth Jordan (OWNER AND CLINICAL DIRECTOR) |
Authorized Official Contact | 4347713457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Ridge Autism Care Po Box 493 Keswick VA 22947-0493 Ph: (434) 771-3457 | Blue Ridge Autism Care 210 Campbell Rd Keswick VA 22947-2109 Ph: (619) 602-0965 |
NPI Number | 1114603123 |
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Provider Enumeration Date | 06/26/2023 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114603123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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