Provider Demographics
NPI:1083027981
Name:AUTISM BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:AUTISM BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:NASSIM
Authorized Official - Middle Name:SALIM
Authorized Official - Last Name:AOUDE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:844-428-8476
Mailing Address - Street 1:30 RICE LN
Mailing Address - Street 2:UNIT 7
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4864
Mailing Address - Country:US
Mailing Address - Phone:844-428-8476
Mailing Address - Fax:
Practice Address - Street 1:13 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:NORTH GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536-1860
Practice Address - Country:US
Practice Address - Phone:844-428-8476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health