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Organization
AUTISM THERAPEUTIC SERVICES
Active
Organization
AUTISM THERAPEUTIC SERVICES
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA RAE SCOTT (SVP OUTPATIENT PEDIATRICS)
(303) 437-4364
Entity
Organization
Contact information
Practice address
3649 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 484-1722
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2021
Last updated
10/16/2023
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