Organization
BLUE RIDGE AUTISM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BETH JORDAN BCBA (OWNER AND CLINICAL DIRECTOR)
(434) 771-3457
Entity
Organization
Contact information
Practice address
210 CAMPBELL RD, KESWICK, VA 22947-2109
(619) 602-0965
Mailing address
PO BOX 493, KESWICK, VA 22947-0493
(434) 771-3457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
11/07/2023
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