| Spectrum Autism Services, Llc | |
|
35 Walpole St Ste 207 Stafford VA 22554-6546 | |
| (540) 383-7133 | |
| Not Available |
| Full Name | Spectrum Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 35 Walpole St Ste 207, Stafford, Virginia |
| Authorized Official Name and Position | Nancy Daly (CEO) |
| 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 35 Walpole St Ste 207 Stafford VA 22554-6546 Ph: (540) 383-7133 |
| NPI Number | 1184149403 |
|---|---|
| Provider Enumeration Date | 08/08/2017 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184149403 | NPI | - | NPPES |
| 30015289290002 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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