| Autism Systems Llc | |
|
3245 Keewahdin Rd Fort Gratiot MI 48059-3498 | |
| (989) 401-2244 | |
| (800) 562-3347 |
| Full Name | Autism Systems Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3245 Keewahdin Rd, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Ruchi Bhardwaj (OWNER) |
| Authorized Official Contact | 2482280502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Systems Llc 5039 Villa Linde Pkwy Ste 30 Flint MI 48532-3450 Ph: (248) 228-0502 | Autism Systems Llc 3245 Keewahdin Rd Fort Gratiot MI 48059-3498 Ph: (989) 401-2244 |
| NPI Number | 1972030724 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 6608242250 |
|---|---|
| Medicare Enrollment ID | O20221021002376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972030724 | NPI | - | NPPES |
| Provider Name | Jordan Leigh Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275202251 PECOS PAC ID: 5597163493 Enrollment ID: I20211007000424 |
| Provider Name | Maria E Valtadoros |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801139126 PECOS PAC ID: 5395111983 Enrollment ID: I20221024000827 |
| Provider Name | Kasey Ann Kastros |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457083271 PECOS PAC ID: 7810352564 Enrollment ID: I20230502000973 |
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