| Inspred By Autism Llc | |
|
2019 Cunningham Dr Ste 105 Hampton VA 23666-3316 | |
| (562) 445-0023 | |
| (757) 788-8636 |
| Full Name | Inspred By Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2019 Cunningham Dr Ste 105, Hampton, Virginia |
| Authorized Official Name and Position | Rayon Tyler (OWNER) |
| Authorized Official Contact | 5624450023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspred By Autism Llc 1006 Intrepid Ct Virginia Beach VA 23454-2415 Ph: (562) 445-0023 | Inspred By Autism Llc 2019 Cunningham Dr Ste 105 Hampton VA 23666-3316 Ph: (562) 445-0023 |
| NPI Number | 1639708894 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639708894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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