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Organization
ABA4AUTISM,LLC
Active
Organization
ABA4AUTISM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY OLSON BCBA (OWNER)
(603) 732-3415
Entity
Organization
Contact information
Practice address
15667 RYDER CUP DR, HAYMARKET, VA 20169-6162
(603) 732-3415
Mailing address
5501 MERCHANTS VIEW SQ STE 743, HAYMARKET, VA 20169-5439
(603) 732-3415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19329
NH
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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