| Spectrum Of Care Autism Center | |
|
14800 Potomac Branch Dr Woodbridge VA 22191-4056 | |
| (706) 329-7213 | |
| Not Available |
| Full Name | Spectrum Of Care Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14800 Potomac Branch Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Kimberly Antoniett Jones (CEO) |
| Authorized Official Contact | 7063297213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Of Care Autism Center 14800 Potomac Branch Dr Woodbridge VA 22191-4056 Ph: (706) 329-7213 | Spectrum Of Care Autism Center 14800 Potomac Branch Dr Woodbridge VA 22191-4056 Ph: (706) 329-7213 |
| NPI Number | 1114617735 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114617735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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