| Blue Ridge Autism Care | |
|
210 Campbell Rd Keswick VA 22947-2109 | |
| (619) 602-0965 | |
| Not Available |
| Full Name | Blue Ridge Autism Care |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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