GENESIS AUTISM CENTER, LLC

HAMPTON, VA
NPI1487399390
Entity TypeOrganization
Authorized ContactCAMERON SEVERO ASHWORTH
Owner
757-927-1527
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2022-05-04
Last Update Date2022-05-04
Business Address
GENESIS AUTISM CENTER, LLC
2206 EXECUTIVE DR STE A
HAMPTON, VA 23666-2583
Phone number: 929-436-3747
Mailing Address
GENESIS AUTISM CENTER, LLC
2202 EXECUTIVE DR STE C
HAMPTON, VA 23666-6604
Phone number: 757-827-7707
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