| Geneva Center For Autism Llc | |
|
8001 N Point Blvd Ste B Winston Salem NC 27106-3247 | |
| (336) 408-4396 | |
| Not Available |
| Full Name | Geneva Center For Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8001 N Point Blvd Ste B, Winston Salem, North Carolina |
| Authorized Official Name and Position | Rodney Lisenby (MANAGING MEMBER) |
| Authorized Official Contact | 3364084396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geneva Center For Autism Llc 8001 N Point Blvd Ste B Winston Salem NC 27106-3247 Ph: (336) 408-4396 | Geneva Center For Autism Llc 8001 N Point Blvd Ste B Winston Salem NC 27106-3247 Ph: (336) 408-4396 |
| NPI Number | 1265255319 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265255319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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