Healthcare Provider Details

I. General information

NPI: 1114832029
Provider Name (Legal Business Name): ROYAL AUTISM CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 EFFINGHAM ST
PORTSMOUTH VA
23704-3464
US

IV. Provider business mailing address

555 BELAIRE AVE STE 210
CHESAPEAKE VA
23320-4783
US

V. Phone/Fax

Practice location:
  • Phone: 757-660-6979
  • Fax: 757-885-5408
Mailing address:
  • Phone: 757-660-6979
  • Fax: 757-885-5408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO RASHARD ROYAL
Title or Position: OWNER
Credential:
Phone: 757-660-7969