Organization
NAC OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LANE HARTMAN (CEO)
(480) 634-3326
Entity
Organization
Contact information
Practice address
152 BURNETTS WAY, SUFFOLK, VA 23434-8166
(480) 634-3326
Mailing address
6 WHISPER LN, SUFFERN, NY 10901-4023
(480) 634-3326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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