Provider Demographics
NPI:1598548752
Name:NEW ENGLAND AUTISM SERVICES
Entity Type:Organization
Organization Name:NEW ENGLAND AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GICHUKI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LABA
Authorized Official - Phone:781-513-0224
Mailing Address - Street 1:140 WORCESTER PROVIDENCE TPKE STE 4
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-2448
Mailing Address - Country:US
Mailing Address - Phone:781-513-0224
Mailing Address - Fax:508-256-2650
Practice Address - Street 1:140 WORCESTER PROVIDENCE TPKE STE 4
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:MA
Practice Address - Zip Code:01590-2448
Practice Address - Country:US
Practice Address - Phone:781-513-0224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health