Organization
AUTISM THERAPEUTIC SERVICES
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA RAE SCOTT (SVP OUTPATIENT PEDIATRICS)
(303) 437-4364
Entity
Organization
Contact information
Practice address
3649 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 484-1722
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2021
Last updated
10/16/2023
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