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General NPI Number Information
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NPI Number | 1396150264
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Entity Type | Organization
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Legal Business Name | VIRGINIA AUTISM SPECTRUM SVCS, LLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 36 SOUTHGATE CT STE 101
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-208-7822
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Fax | 540-208-7853
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Provider Business Mailing Address
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Address Line | 36 SOUTHGATE CT STE 101
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-208-7822
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Fax | 540-208-7853
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANDREA M ZAMPIVA
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Credential | BCBA
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Telephone | 631-834-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0133000130
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License Number State | VA
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