| Family Autism Center Inc | |
|
1517 Franklin Ave Mineola NY 11501 | |
| (516) 741-9000 | |
| (516) 302-1820 |
| Full Name | Family Autism Center Inc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 1517 Franklin Ave, Mineola, New York |
| Authorized Official Name and Position | Janet Koch (OWNER) |
| Authorized Official Contact | 5167419000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Autism Center Inc 1517 Franklin Ave Mineola NY 11501-4804 Ph: (516) 741-9000 | Family Autism Center Inc 1517 Franklin Ave Mineola NY 11501 Ph: (516) 741-9000 |
| NPI Number | 1942642392 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942642392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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