Provider Demographics
NPI:1467991174
Name:AUTASTIC LEARNING LLC
Entity Type:Organization
Organization Name:AUTASTIC LEARNING LLC
Other - Org Name:AUTASTIC LEARNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EDUCATOR/
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:WADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-306-3325
Mailing Address - Street 1:6620 CASTLELAWN PL
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-1611
Mailing Address - Country:US
Mailing Address - Phone:786-306-3325
Mailing Address - Fax:
Practice Address - Street 1:6620 CASTLELAWN PL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-1611
Practice Address - Country:US
Practice Address - Phone:786-306-3325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty