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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
102 SUPERIOR DR, SPRING LAKE, NC 28390-3190
(910) 484-1711
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/30/2021
Last updated
10/16/2023
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