Kismet Autism Service Llc | |
340 Rose Dr Lawrenceville VA 23868-3450 | |
(434) 594-7159 | |
Not Available |
Full Name | Kismet Autism Service Llc |
---|---|
Speciality | Behavior Analyst |
Location | 340 Rose Dr, Lawrenceville, Virginia |
Authorized Official Name and Position | Bridget Denise Mangrum Brown (OWNER) |
Authorized Official Contact | 4345947159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kismet Autism Service Llc 340 Rose Dr Lawrenceville VA 23868-3450 Ph: (434) 594-7159 | Kismet Autism Service Llc 340 Rose Dr Lawrenceville VA 23868-3450 Ph: (434) 594-7159 |
NPI Number | 1386473379 |
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Provider Enumeration Date | 07/29/2024 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386473379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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