Beam Pediatric Therapy, LLC
NPI #1295274082 in Centreville, Virginia
Provider Information
- NPI Number
- 1295274082
- Entity Type
- Organization
- Organization Name
- Beam Pediatric Therapy, LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Feb 14, 2017
- Last Updated
- Feb 14, 2017
Practice Location
- Address
- 14313 BROOKMERE DR
- City
- Centreville
- State
- Virginia
- ZIP Code
- 20120-4106
- Phone
- (540) 455-3107
Authorized Official
- Name
- MRS. AMANDA FAITH BOETTCHER, M.ED., BCBA, LBA
- Title
- EXECUTIVE DIRECTOR/BEHAVIOR ANALYST
- Phone
- (540) 455-3107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Behavior Analyst |
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