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1487399390
GENESIS AUTISM CENTER, LLC
HAMPTON, VA
NPI
1487399390
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Entity Type
Organization
Authorized Contact
CAMERON SEVERO ASHWORTH
Owner
757-927-1527
Organization Subpart ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
GENESIS AUTISM CENTER, LLC
2206 EXECUTIVE DR STE A
HAMPTON, VA 23666-2583
Phone number: 929-436-3747
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Mailing Address
GENESIS AUTISM CENTER, LLC
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
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