Provider Demographics
NPI:1467610154
Name:THE CENTER FOR AUTISM TREATMENT, INC.
Entity Type:Organization
Organization Name:THE CENTER FOR AUTISM TREATMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KASPER
Authorized Official - Suffix:
Authorized Official - Credentials:MS/CCC-SLP, BCBA
Authorized Official - Phone:262-388-0398
Mailing Address - Street 1:388 WOODSIDE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-9553
Mailing Address - Country:US
Mailing Address - Phone:262-365-9063
Mailing Address - Fax:262-922-4444
Practice Address - Street 1:388 WOODSIDE DR STE 1
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-9553
Practice Address - Country:US
Practice Address - Phone:262-365-9063
Practice Address - Fax:262-922-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health