Provider Demographics
NPI:1497343701
Name:AUTISM FIRST LLC
Entity Type:Organization
Organization Name:AUTISM FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-808-6413
Mailing Address - Street 1:156 ALEXANDRIA PIKE
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2810
Mailing Address - Country:US
Mailing Address - Phone:703-496-4371
Mailing Address - Fax:
Practice Address - Street 1:156 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2810
Practice Address - Country:US
Practice Address - Phone:703-496-4371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty