| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AUTUMN LOVE | 1881316636 | 2022-09-16 |
Autumn Love is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881316636. Registration indicates Autumn Love is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Autumn Love |
| Practice Office Address | 780 LYNNHAVEN PKWY STE 400 VIRGINIA BEACH, VA US |
| Practice Office Telephone | 8774182978 |
| Mailing Address | 350 FAIRWAY DR STE 101 DEERFIELD BEACH, FL 334411834 US |
| Business Telephone | 8774182978 |
| Business Fax | 8665002186 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |