Fort Wayne Autism Center Inc

NPI 1750664561 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1750664561
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name COURTNEY COURTNEY
Position PRESIDENT
Phone (260) 245-1455
Fax
Practice Location
2817 E DUPONT RD
FORT WAYNE IN, 46825-1668, US
Phone (260) 245-1455
Fax
Business Location
172 W CARMEL DR
CARMEL IN, 46032-2526, US
Phone (317) 815-5501
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Fort Wayne Autism Center Inc NPI is 1750664561, taxonomy code is 103K00000X Fort Wayne Autism Center Inc physically located at 2817 E Dupont Rd, Fort Wayne IN, 46825-1668. NPI Number 1033115704 has the healthcare provider type.

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1750664561 NPI number is provided on an as is basis without warranty of any kind. 1750664561 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Wayne Autism Center Inc are for informational purposes only.