Organization
AUTISM THERAPEUTIC SERVICES
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA RAE SCOTT (SVP OUTPATIENT PEDIATRICS)
(303) 437-4364
Entity
Organization
Contact information
Practice address
402 N 8TH ST, KILLEEN, TX 76541-5215
(910) 484-1711
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/16/2021
Last updated
11/10/2023
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