| Autism Specialist Llc | |
|
4448 Labrador Ct Amissville VA 20106-2218 | |
| (571) 277-9357 | |
| Not Available |
| Full Name | Autism Specialist Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4448 Labrador Ct, Amissville, Virginia |
| Authorized Official Name and Position | Erin Utterback (FOUNDER) |
| Authorized Official Contact | 5712779357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Specialist Llc 4448 Labrador Ct Amissville VA 20106-2218 Ph: () - | Autism Specialist Llc 4448 Labrador Ct Amissville VA 20106-2218 Ph: (571) 277-9357 |
| NPI Number | 1083072904 |
|---|---|
| Provider Enumeration Date | 02/06/2016 |
| Last Update Date | 02/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083072904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0156470 (Virginia) | Primary |
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