Organization
PENINSULA ACADEMY FOR AUTISM
Active
Other names
Peninsula School for Autism
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYDNEY RANDALL JOHNSON MROWIEC M.S. (EXECUTIVE DIRECTOR)
(757) 223-0558
Entity
Organization
Contact information
Practice address
12749 NETTLES DR, NEWPORT NEWS, VA 23606-1804
(757) 223-0558
(757) 223-0559
Mailing address
12749 NETTLES DR, NEWPORT NEWS, VA 23606-1804
(757) 223-0558
(757) 223-0559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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