Organization
POSITIVE SUPPORT FOR CHILDREN WITH AUTISM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADE TILLMAN (AUTHORIZED OFFICIAL)
(757) 788-8033
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E STE 233, HAMPTON, VA 23666-2072
(757) 788-8033
Mailing address
4410 CLAIBORNE SQ E STE 233, HAMPTON, VA 23666-2072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
03/12/2025
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