Gateway Adaptive Services | |
6103 Hatches Ct Burke VA 22015-3430 | |
(703) 944-9481 | |
Not Available |
Full Name | Gateway Adaptive Services |
---|---|
Speciality | Behavior Analyst |
Location | 6103 Hatches Ct, Burke, Virginia |
Authorized Official Name and Position | Sarah Digioia (OWNER) |
Authorized Official Contact | 7039449481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Adaptive Services 6103 Hatches Ct Burke VA 22015-3430 Ph: (703) 944-9481 | Gateway Adaptive Services 6103 Hatches Ct Burke VA 22015-3430 Ph: (703) 944-9481 |
NPI Number | 1972057040 |
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Provider Enumeration Date | 08/06/2016 |
Last Update Date | 08/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972057040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 0133000582 (Virginia) | Primary |
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