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General NPI Number Information
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NPI Number | 1730977166
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Entity Type | Organization
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Legal Business Name | AUTISM COMMUNITY ALLIANCE
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 8200 OLD KEENE MILL RD
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City | SPRINGFIELD
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State | VA
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Zip | 22152-1844
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Country | US
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Telephone | 571-390-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 9035 SWIFT CREEK RD
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-2815
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Country | US
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Telephone | 571-390-4411
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. KATHRYN ADAMS
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Credential |
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Telephone | 571-390-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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