Provider Demographics
NPI:1639671381
Name:AUTISM APPLIED CONSULTANTS LLC
Entity Type:Organization
Organization Name:AUTISM APPLIED CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN HILAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIARIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-685-5093
Mailing Address - Street 1:86 MIDDLESEX AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1969
Mailing Address - Country:US
Mailing Address - Phone:508-685-5093
Mailing Address - Fax:
Practice Address - Street 1:86 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1969
Practice Address - Country:US
Practice Address - Phone:508-685-5093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty