NPI 1033785340
Advanced Autism Services VA LLC
Practice location
- Address
- 780 Lynnhaven Pkwy STE 400, Virginia Beach, VA 23452-7332
- Phone
- (602) 584-9860
- Fax
- (602) 715-1135
- Mailing address
- 36 Airport Rd STE 105, Lakewood, NJ 08701-7034
Authorised official
- Name
- Malka Hersko
- Title
- Director
- Phone
- (602) 584-9860
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1033785340
- Entity type
- Organization
- NPI issued
- 28 May 2021
- Record last updated
- 28 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.