| Mission Autism Clinics Llc | |
|
5310 Spectrum Dr Frederick MD 21703-7362 | |
| (888) 726-4774 | |
| (570) 362-5112 |
| Full Name | Mission Autism Clinics Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5310 Spectrum Dr, Frederick, Maryland |
| Authorized Official Name and Position | Paul Deangelo (CEO) |
| Authorized Official Contact | 8887264774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Autism Clinics Llc 9 Banks Ave Mcadoo PA 18237-2508 Ph: (887) 264-7748 | Mission Autism Clinics Llc 5310 Spectrum Dr Frederick MD 21703-7362 Ph: (888) 726-4774 |
| NPI Number | 1124787866 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124787866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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