Provider Demographics
NPI:1497229348
Name:ADVANTAGE AUTISM AND THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ADVANTAGE AUTISM AND THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:563-299-0886
Mailing Address - Street 1:2111 155TH ST
Mailing Address - Street 2:
Mailing Address - City:ATALISSA
Mailing Address - State:IA
Mailing Address - Zip Code:52720-9751
Mailing Address - Country:US
Mailing Address - Phone:563-299-0886
Mailing Address - Fax:
Practice Address - Street 1:2111 155TH ST
Practice Address - Street 2:
Practice Address - City:ATALISSA
Practice Address - State:IA
Practice Address - Zip Code:52720-9751
Practice Address - Country:US
Practice Address - Phone:563-299-0886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty