Organization
AUTISM SPECTRUM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER ZOOBERG BCBA (PRESIDENT)
(757) 469-3773
Entity
Organization
Contact information
Practice address
4324 HUDDLESTONE DR, WESLEY CHAPEL, FL 33545-5234
(757) 469-3773
(757) 257-9523
Mailing address
908 LAURIE CT, VIRGINIA BEACH, VA 23464-8249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7863
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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