Provider Demographics
NPI:1013188945
Name:AUTISM AWARENESS ASSOCIATION INC.
Entity Type:Organization
Organization Name:AUTISM AWARENESS ASSOCIATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official - Prefix:MS
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:620-663-4802
Mailing Address - Street 1:4031 E HARRY ST
Mailing Address - Street 2:P O BOX 780898
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-3724
Mailing Address - Country:US
Mailing Address - Phone:316-771-7335
Mailing Address - Fax:316-771-7201
Practice Address - Street 1:4031 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-3724
Practice Address - Country:US
Practice Address - Phone:316-771-7335
Practice Address - Fax:316-771-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS302F00000X302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization