Organization
VIRGINIA INSTITUTE OF AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN BOYD (BUSINESS MANAGER)
(434) 923-8252
Entity
Organization
Contact information
Practice address
3500 REMSON CT, CHARLOTTESVILLE, VA 22901-3508
(434) 923-8252
(434) 925-8566
Mailing address
PO BOX 6127, CHARLOTTESVILLE, VA 22906-6127
(434) 923-8252
(434) 925-8566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
VA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825
—
VA
Enumeration date
09/07/2010
Last updated
09/15/2014
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