Provider Demographics
NPI:1033536784
Name:CENTER FOR AUTISM AND RELATED DISORDERS
Entity Type:Organization
Organization Name:CENTER FOR AUTISM AND RELATED DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRAIMONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-377-6590
Mailing Address - Street 1:6 N MAIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1524
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 N MAIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1524
Practice Address - Country:US
Practice Address - Phone:585-377-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty