Organization
AUTISM THERAPEUTIC SERVICES
Active
Other names
HealthPRO Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE PFUNTNER (ADMINISTRATIVE DIRECTOR)
(910) 484-1711
Entity
Organization
Contact information
Practice address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 484-1722
Mailing address
568 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-16-7357
NC
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
11/10/2023
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