Provider Demographics
NPI:1316561087
Name:AUTISM COMPANION SERVICES
Entity Type:Organization
Organization Name:AUTISM COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-403-6705
Mailing Address - Street 1:148 W GREYHOUND PASS
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7003
Mailing Address - Country:US
Mailing Address - Phone:317-403-6705
Mailing Address - Fax:
Practice Address - Street 1:148 W GREYHOUND PASS
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7003
Practice Address - Country:US
Practice Address - Phone:317-403-6705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty