Autism Continuum Therapies LLC
Behavior Analyst in Fairfax, VA. Organization (NPI-2).
NPI number1275934622
StatusActive
Last updated in NPPESSep 4, 2014
Details
- NPI
- 1275934622
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Continuum Therapies LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2014
- Last updated
- Sep 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-07-3957 | VA | Yes |
| 103K00000X | Behavior Analyst | 1-00-0010 | CA |
Practice location
8500 Executive Park AveSuite 408
Fairfax, VA 22031-2225
Phone 855-295-3276 · Fax 818-241-6853
Mailing address
505 N Brand Blvd#1000
Glendale, CA 91203-1906
Phone 818-241-6780 · Fax 818-241-6853
Authorized official
Mark Russell
C.F.O.
8182416780
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