Organization
AUTISM SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN UTTERBACK BCABA, LABA (FOUNDER)
(571) 277-9357
Entity
Organization
Contact information
Practice address
4448 LABRADOR CT, AMISSVILLE, VA 20106-2218
(571) 277-9357
Mailing address
4448 LABRADOR CT, AMISSVILLE, VA 20106-2218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0156470
VA
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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