| Woodbridge Autism Center, Pllc | |
|
101 Glenhigh Ct Cary NC 27511-5200 | |
| (919) 502-1450 | |
| Not Available |
| Full Name | Woodbridge Autism Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 Glenhigh Ct, Cary, North Carolina |
| Authorized Official Name and Position | Katherine Sarah Davlantis (MANAGER/OWNER) |
| Authorized Official Contact | 9195021450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Autism Center, Pllc 2054 Kildaire Farm Rd # 234 Cary NC 27518-6614 Ph: (919) 502-1450 | Woodbridge Autism Center, Pllc 101 Glenhigh Ct Cary NC 27511-5200 Ph: (919) 502-1450 |
| NPI Number | 1538689153 |
|---|---|
| Provider Enumeration Date | 06/24/2017 |
| Last Update Date | 06/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538689153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-23002 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009279 (North Carolina) | Primary |
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