| Prospective Skills, Llc | |
|
104 Basalt Dr Fredericksburg VA 22406-7228 | |
| (540) 424-7721 | |
| Not Available |
| Full Name | Prospective Skills, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 104 Basalt Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jamie Diane Campbell (OWNER, BCBA) |
| Authorized Official Contact | 5404247721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospective Skills, Llc 105 Cypress Manor Ct Jacksonville NC 28540-4052 Ph: (540) 424-7721 | Prospective Skills, Llc 104 Basalt Dr Fredericksburg VA 22406-7228 Ph: (540) 424-7721 |
| NPI Number | 1609578186 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609578186 | NPI | - | NPPES |
| 1336707504 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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