Provider Demographics
NPI:1487046165
Name:AUTISM ADVISORS LLC
Entity Type:Organization
Organization Name:AUTISM ADVISORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YURASZECK
Authorized Official - Suffix:
Authorized Official - Credentials:LBS, MA
Authorized Official - Phone:215-718-5100
Mailing Address - Street 1:14 WOODBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1117
Mailing Address - Country:US
Mailing Address - Phone:215-718-5100
Mailing Address - Fax:267-328-9669
Practice Address - Street 1:14 WOODBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1117
Practice Address - Country:US
Practice Address - Phone:215-718-5100
Practice Address - Fax:267-328-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002317251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health