TIDEWATER AUTISM CONSULTATION AND THERAPY, LLC

GLOUCESTER, VA
NPI1639767981
Entity TypeOrganization
Authorized ContactJOSEPH D LEGG
Behavior Analysy
757-604-3394
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Enumeration Date2021-01-04
Last Update Date2021-01-04
Business Address
TIDEWATER AUTISM CONSULTATION AND THERAPY, LLC
6676 MAGNOLIA DR
GLOUCESTER, VA 23061-4239
Phone number: 757-604-3394
Mailing Address
TIDEWATER AUTISM CONSULTATION AND THERAPY, LLC
6676 MAGNOLIA DR
GLOUCESTER, VA 23061-4239
Phone number: 757-604-3394
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