Provider Demographics
NPI:1497207781
Name:AUTISM EMPOWERMENT
Entity Type:Organization
Organization Name:AUTISM EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KREJCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-852-8369
Mailing Address - Street 1:PO BOX 871676
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-1676
Mailing Address - Country:US
Mailing Address - Phone:360-852-8369
Mailing Address - Fax:360-852-8369
Practice Address - Street 1:6511 NE 18TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-6869
Practice Address - Country:US
Practice Address - Phone:360-852-8369
Practice Address - Fax:360-852-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603118497251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable