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Organization
PROGRESSIVE AUTISM CONSULTING AND THERAPY
Active
Organization
PROGRESSIVE AUTISM CONSULTING AND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKURA TABORN BS (CLINICAL DIRECTOR)
(757) 602-1029
Entity
Organization
Contact information
Practice address
1626 LOVITT AVE APT 11, NORFOLK, VA 23504-4451
(757) 602-1029
(757) 602-1029
Mailing address
1626 LOVITT AVE APT 11, NORFOLK, VA 23504-4451
(757) 602-1029
(757) 602-1029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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