Provider Demographics
NPI:1467853127
Name:SADOWSKY AUTISM SERVICES, LLC
Entity Type:Organization
Organization Name:SADOWSKY AUTISM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:SADOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-456-1814
Mailing Address - Street 1:8109 NW ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4816
Mailing Address - Country:US
Mailing Address - Phone:619-456-1814
Mailing Address - Fax:816-569-0303
Practice Address - Street 1:8109 NW ROBERTS RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64152-4816
Practice Address - Country:US
Practice Address - Phone:619-456-1814
Practice Address - Fax:816-569-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014013059103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty