Provider Demographics
NPI:1326292475
Name:PACE AUTISM SERVICES, LLC
Entity Type:Organization
Organization Name:PACE AUTISM SERVICES, LLC
Other - Org Name:HEIDI HEYMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-257-1212
Mailing Address - Street 1:9323 W GREENFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-2733
Mailing Address - Country:US
Mailing Address - Phone:414-257-1212
Mailing Address - Fax:
Practice Address - Street 1:9323 W GREENFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-2733
Practice Address - Country:US
Practice Address - Phone:414-257-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health