| San Angelo Autism Center | |
|
136 E Concho Ave San Angelo TX 76903-5947 | |
| (325) 777-2727 | |
| (325) 777-2737 |
| Full Name | San Angelo Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 136 E Concho Ave, San Angelo, Texas |
| Authorized Official Name and Position | Hanna Cain (OWNER/MANAGER) |
| Authorized Official Contact | 3257772727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Angelo Autism Center 136 E Concho Ave San Angelo TX 76903-5947 Ph: (325) 777-2727 | San Angelo Autism Center 136 E Concho Ave San Angelo TX 76903-5947 Ph: (325) 777-2727 |
| NPI Number | 1275192270 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275192270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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