Individual
AUTUMN ROSE NATION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
112 TITAN DR, FLORENCE, AL 35630-1197
(256) 275-7089
Mailing address
320 PEACE AND PLENTY LN, STEPHENS CITY, VA 22655-5834
(540) 664-7674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002399
VA
103K00000X
Behavior Analyst
Primary
2022-030
AL
Other
Enumeration date
03/16/2022
Last updated
03/18/2022
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