NPI 1407053549

Autism Outreach, INC.

Organisation Exclusive Provider Organization Reston, VA

Practice location

Address: 11337 Sunset Hills Rd, Reston, VA 20190-5205
Phone: (703) 689-0019
Mailing address: 701 Emerald Hill Dr NE, Leesburg, VA 20176-3633

Authorised official

Name: Michelle Hurst
Title: Aba Program Consultant
Phone: (703) 689-0019

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence NA

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Registry record

NPI: 1407053549
Entity type: Organization
NPI issued: 2 Jul 2007
Record last updated: 22 Aug 2020

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.