Provider Demographics
NPI:1144923475
Name:AUTISM WORLDWIDE, LLC
Entity type:Organization
Organization Name:AUTISM WORLDWIDE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-809-5074
Mailing Address - Street 1:9754 NAPOLI WOODS LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6945 SW STATE ROAD 200 BLDG 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-9210
Practice Address - Country:US
Practice Address - Phone:561-809-5074
Practice Address - Fax:352-727-7935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty