Provider Demographics
NPI:1376861245
Name:THE AUTISM PROJECT
Entity Type:Organization
Organization Name:THE AUTISM PROJECT
Other - Org Name:R I AUTISM PROJECT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CREDENITALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FACTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-724-8400
Mailing Address - Street 1:1516 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3223
Mailing Address - Country:US
Mailing Address - Phone:401-785-2666
Mailing Address - Fax:401-785-2272
Practice Address - Street 1:1516 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3223
Practice Address - Country:US
Practice Address - Phone:401-785-2666
Practice Address - Fax:401-785-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI56852Medicaid
RI1821078932OtherBLUE CROSS BLUE SHIELD OF RI