Organization
AUTISM SPECTRUM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER ZOOBERG M. S. ED., BCBA (PRESIDENT/ BCBA)
(757) 469-3773
Entity
Organization
Contact information
Practice address
6401 CRESCENT WAY APT 301, NORFOLK, VA 23513-1454
(757) 469-3773
(757) 257-9523
Mailing address
6401 CRESCENT WAY APT 301, NORFOLK, VA 23513-1454
(757) 469-3773
(757) 257-9523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7863
VA
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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