Provider Demographics
NPI:1083890321
Name:AUTISM CENTER FOR EDUCATION
Entity Type:Organization
Organization Name:AUTISM CENTER FOR EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:VALLARIO
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:512-895-9570
Mailing Address - Street 1:9600 ESCARPMENT BLVD
Mailing Address - Street 2:SUITE #745-222
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1982
Mailing Address - Country:US
Mailing Address - Phone:512-895-9570
Mailing Address - Fax:512-895-9570
Practice Address - Street 1:9600 ESCARPMENT BLVD
Practice Address - Street 2:SUITE #745-222
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1982
Practice Address - Country:US
Practice Address - Phone:512-895-9570
Practice Address - Fax:512-895-9570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1073512251C00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services