Organization
THE FAISON CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHADE (PRACTICE MANAGER)
(804) 612-1947
Entity
Organization
Contact information
Practice address
5311 MARKEL RD, RICHMOND, VA 23230-3008
(804) 612-1947
(804) 612-1955
Mailing address
5311 MARKEL RD, RICHMOND, VA 23230-3008
(804) 612-1947
(804) 612-1955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1726-07-010
VA
235Z00000X
Speech-Language Pathologist
—
—
261QA0600X
Adult Day Care Clinic/Center
1726-02-010
VA
261QD1600X
Developmental Disabilities Clinic/Center
1726-07-010
VA
Other
Enumeration date
02/02/2011
Last updated
10/03/2024
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