| Partners In Autism | |
|
3030 Lake Ave Ste 20 Fort Wayne IN 46805-5428 | |
| (260) 420-9332 | |
| (866) 446-0198 |
| Full Name | Partners In Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3030 Lake Ave Ste 20, Fort Wayne, Indiana |
| Authorized Official Name and Position | William T Guest (OWNER) |
| Authorized Official Contact | 2604209332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Autism 3030 Lake Ave Ste 20 Fort Wayne IN 46805-5428 Ph: (260) 420-9332 | Partners In Autism 3030 Lake Ave Ste 20 Fort Wayne IN 46805-5428 Ph: (260) 420-9332 |
| NPI Number | 1104236272 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104236272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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