Organization
AMAZING BRAINS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASHA MUSTIN HEREK M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST / OWNER)
(757) 304-6282
Entity
Organization
Contact information
Practice address
2706 ETON RD, CHARLOTTESVILLE, VA 22903-4132
(757) 304-6282
(855) 610-2253
Mailing address
2706 ETON RD, CHARLOTTESVILLE, VA 22903-4132
(757) 304-6282
(855) 610-2253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
12/21/2023
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