| Pinwheel Autism | |
|
2508 Mediterranean Ave Virginia Beach VA 23451-4032 | |
| (757) 803-5663 | |
| (757) 938-6944 |
| Full Name | Pinwheel Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2508 Mediterranean Ave, Virginia Beach, Virginia |
| Authorized Official Name and Position | Danielle Jackson Lippoldt (BEHAVIOR ANALYST) |
| Authorized Official Contact | 7578035663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinwheel Autism 2508 Mediterranean Ave Virginia Beach VA 23451-4032 Ph: (757) 803-5663 | Pinwheel Autism 2508 Mediterranean Ave Virginia Beach VA 23451-4032 Ph: (757) 803-5663 |
| NPI Number | 1063889327 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063889327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000608 (Virginia) | Primary |
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