Provider Demographics
NPI:1679236152
Name:AUTISMO EDUCA INC
Entity Type:Organization
Organization Name:AUTISMO EDUCA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SABINO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERALTA RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-995-8520
Mailing Address - Street 1:451 THIERIOT AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3623
Mailing Address - Country:US
Mailing Address - Phone:347-995-8520
Mailing Address - Fax:
Practice Address - Street 1:451 THIERIOT AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3623
Practice Address - Country:US
Practice Address - Phone:347-995-8520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty