Provider Demographics
NPI:1447573746
Name:AUTISM SERVICES NORTH
Entity Type:Organization
Organization Name:AUTISM SERVICES NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:APICELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:914-393-8665
Mailing Address - Street 1:7 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1712
Mailing Address - Country:US
Mailing Address - Phone:914-393-8665
Mailing Address - Fax:
Practice Address - Street 1:7 FOREST AVE
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1712
Practice Address - Country:US
Practice Address - Phone:914-393-8665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-06-3075251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health