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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 SCOTT (PRESIDENT-PEDIATRICS DIVISION)
(303) 437-4364
Entity
Organization
Contact information
Practice address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1722
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
(919) 869-1685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/29/2010
Last updated
10/23/2023
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