Provider Demographics
NPI:1689060774
Name:ASPERGER/AUTISM NETWORK INC.
Entity Type:Organization
Organization Name:ASPERGER/AUTISM NETWORK INC.
Other - Org Name:AANE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:617-393-3824
Mailing Address - Street 1:51 WATER ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4611
Mailing Address - Country:US
Mailing Address - Phone:617-393-3824
Mailing Address - Fax:
Practice Address - Street 1:51 WATER ST
Practice Address - Street 2:SUITE 206
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4611
Practice Address - Country:US
Practice Address - Phone:617-393-3824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management