| Foothills Autism Services Aba Llc | |
|
209 Eastwood Park Cir Se Lenoir NC 28645-6212 | |
| (828) 999-0355 | |
| Not Available |
| Full Name | Foothills Autism Services Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 209 Eastwood Park Cir Se, Lenoir, North Carolina |
| Authorized Official Name and Position | Katelyn O'hearn (OWNER) |
| Authorized Official Contact | 8289990355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Autism Services Aba Llc 209 Eastwood Park Cir Se Lenoir NC 28645-6212 Ph: (828) 999-0355 | Foothills Autism Services Aba Llc 209 Eastwood Park Cir Se Lenoir NC 28645-6212 Ph: (828) 999-0355 |
| NPI Number | 1962219139 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962219139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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