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Organization
FAMILY SUCCESS ON SPECTRUM LLC
Active
Organization
FAMILY SUCCESS ON SPECTRUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURTADHA A SHAHEEN (MANAGER)
(804) 305-6849
Entity
Organization
Contact information
Practice address
8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
(804) 918-5206
Mailing address
8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
(804) 305-6849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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