| Virginia Autism Care Pllc | |
|
5 Paragon Dr Ste 105 Montvale NJ 07645-1739 | |
| (845) 327-7111 | |
| Not Available |
| Full Name | Virginia Autism Care Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5 Paragon Dr Ste 105, Montvale, New Jersey |
| Authorized Official Name and Position | Talia Lopez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8453277111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Autism Care Pllc 5 Paragon Dr Ste 105 Montvale NJ 07645-1739 Ph: (845) 327-7111 | Virginia Autism Care Pllc 5 Paragon Dr Ste 105 Montvale NJ 07645-1739 Ph: (845) 327-7111 |
| NPI Number | 1902796915 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902796915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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