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Organization
SPECTRUM AUTISM SERVICES, LLC
Active
Organization
SPECTRUM AUTISM SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DALY M.A., BCBA, LBA (CEO)
(540) 383-7133
Entity
Organization
Contact information
Practice address
35 WALPOLE ST STE 207, STAFFORD, VA 22554-6546
(540) 383-7133
Mailing address
12 MONUMENT DR, STAFFORD, VA 22554-8508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015289290002
—
VA
Enumeration date
08/08/2017
Last updated
05/14/2025
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