Provider Demographics
NPI:1104186121
Name:COMPASS SOLUTIONS FOR AUTISM
Entity Type:Organization
Organization Name:COMPASS SOLUTIONS FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COBY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:877-504-7445
Mailing Address - Street 1:3919 ASHFORD DUNWOODY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-1834
Mailing Address - Country:US
Mailing Address - Phone:877-504-7445
Mailing Address - Fax:866-201-4406
Practice Address - Street 1:3919 ASHFORD DUNWOODY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-1834
Practice Address - Country:US
Practice Address - Phone:877-504-7445
Practice Address - Fax:866-201-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty