Organization
AUTISM THERAPY, LLC
Active
Other names
Autism Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL MATEEN YOUSUFZAI BCABA (OWNER)
(703) 286-9878
Entity
Organization
Contact information
Practice address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
Mailing address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/27/2022
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