Organization
GENEVA CENTER FOR AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LISENBY (MANAGING MEMBER)
(336) 408-4396
Entity
Organization
Contact information
Practice address
8001 N POINT BLVD STE B, WINSTON SALEM, NC 27106-3247
(336) 408-4396
Mailing address
8001 N POINT BLVD STE B, WINSTON SALEM, NC 27106-3247
(336) 408-4396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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