Fort Wayne Autism Center Inc | |
2817 E Dupont Rd Fort Wayne IN 46825-1668 | |
(260) 245-1455 | |
Not Available |
Full Name | Fort Wayne Autism Center Inc |
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Speciality | Behavior Analyst |
Location | 2817 E Dupont Rd, Fort Wayne, Indiana |
Authorized Official Name and Position | Courtney Bierman (PRESIDENT) |
Authorized Official Contact | 2602451455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fort Wayne Autism Center Inc 172 W Carmel Dr Carmel IN 46032-2526 Ph: (317) 815-5501 | Fort Wayne Autism Center Inc 2817 E Dupont Rd Fort Wayne IN 46825-1668 Ph: (260) 245-1455 |
NPI Number | 1750664561 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 09/28/2011 |
Identifier | Type | State | Issuer |
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1750664561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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