| Spectrum Autism Services, Llc | |
|
12 Monument Dr Stafford VA 22554-8508 | |
| (540) 383-7133 | |
| Not Available |
| Full Name | Spectrum Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12 Monument Dr, Stafford, Virginia |
| Authorized Official Name and Position | Nancy Daly (CEO AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 5403837133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Autism Services, Llc 12 Monument Dr Stafford VA 22554-8508 Ph: () - | Spectrum Autism Services, Llc 12 Monument Dr Stafford VA 22554-8508 Ph: (540) 383-7133 |
| NPI Number | 1184149403 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 08/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184149403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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