Organization
KISMET AUTISM SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DENISE MANGRUM BROWN BCBA, LBA (OWNER)
(434) 594-7159
Entity
Organization
Contact information
Practice address
340 ROSE DR, LAWRENCEVILLE, VA 23868-3450
(434) 594-7159
Mailing address
340 ROSE DR, LAWRENCEVILLE, VA 23868-3450
(434) 594-7159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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