Provider Demographics
NPI:1659869352
Name:A1 AUTISM CONSULTANTS
Entity Type:Organization
Organization Name:A1 AUTISM CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:OMOLLO
Authorized Official - Last Name:WESONGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-313-8373
Mailing Address - Street 1:330 SUNDERLAND RD UNIT 76
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-2529
Mailing Address - Country:US
Mailing Address - Phone:913-313-8373
Mailing Address - Fax:
Practice Address - Street 1:330 SUNDERLAND RD UNIT 76
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-2529
Practice Address - Country:US
Practice Address - Phone:913-313-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities