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Organization
BLUE RIDGE AUTISM CARE
Active
Organization
BLUE RIDGE AUTISM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BETH JORDAN BCBA (OWNER AND CLINICAL DIRECTOR)
(434) 771-3457
Entity
Organization
Contact information
Practice address
210 CAMPBELL RD, KESWICK, VA 22947-2109
(619) 602-0965
Mailing address
PO BOX 493, KESWICK, VA 22947-0493
(434) 771-3457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
11/07/2023
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