| Foundational Intervention And Therapy | |
|
7082 Wellford Ln Gloucester VA 23061-5113 | |
| (804) 815-1259 | |
| (804) 694-0694 |
| Full Name | Foundational Intervention And Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7082 Wellford Ln, Gloucester, Virginia |
| Authorized Official Name and Position | Sharon Patterson Mcglohn (OWNER/BCBA) |
| Authorized Official Contact | 8048151259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundational Intervention And Therapy 7082 Wellford Ln Gloucester VA 23061-5113 Ph: (804) 815-1259 | Foundational Intervention And Therapy 7082 Wellford Ln Gloucester VA 23061-5113 Ph: (804) 815-1259 |
| NPI Number | 1053856328 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-22944 (Virginia) | Primary |
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