Provider Demographics
NPI:1497310890
Name:THE AUTISM CENTER FOR TREATMENT
Entity Type:Organization
Organization Name:THE AUTISM CENTER FOR TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:BARNES
Authorized Official - Last Name:HEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MED BCBA
Authorized Official - Phone:512-704-3319
Mailing Address - Street 1:2709 RAE DELL AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4738
Mailing Address - Country:US
Mailing Address - Phone:512-704-3319
Mailing Address - Fax:
Practice Address - Street 1:2709 RAE DELL AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-4738
Practice Address - Country:US
Practice Address - Phone:512-704-3319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty