Organization
STAFFORD EARLY AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRYSTAL EDMONDS BCBA (BEHAVIOR ANALYST)
(540) 623-4127
Entity
Organization
Contact information
Practice address
538 APRICOT STREET, STAFFORD, VA 22554
(540) 623-4127
(540) 301-2778
Mailing address
538 APRICOT STREET, STAFFORD, VA 22554
(540) 623-4127
(540) 301-2778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000789
VA
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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