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Organization
PINWHEEL AUTISM
Active
Organization
PINWHEEL AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE JACKSON LIPPOLDT MA CCC-SLP BCBA LBA (BEHAVIOR ANALYST)
(757) 803-5663
Entity
Organization
Contact information
Practice address
2508 MEDITERRANEAN AVE, VIRGINIA BEACH, VA 23451-4032
(757) 803-5663
(757) 938-6944
Mailing address
2508 MEDITERRANEAN AVE, VIRGINIA BEACH, VA 23451-4032
(757) 803-5663
(757) 938-6944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000608
VA
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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