| Peninsula School For Autism | |
|
12749 Nettles Dr Newport News VA 23606-1804 | |
| (757) 223-0558 | |
| (757) 223-0559 |
| Full Name | Peninsula School For Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12749 Nettles Dr, Newport News, Virginia |
| Authorized Official Name and Position | Sydney Randall Johnson Mrowiec (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7572230558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula School For Autism 12749 Nettles Dr Newport News VA 23606-1804 Ph: (757) 223-0558 | Peninsula School For Autism 12749 Nettles Dr Newport News VA 23606-1804 Ph: (757) 223-0558 |
| NPI Number | 1477830503 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477830503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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