Provider Demographics
NPI:1689312381
Name:ALABAMA AUTISM CENTER LLC
Entity Type:Organization
Organization Name:ALABAMA AUTISM CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:HELSETH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:772-216-1313
Mailing Address - Street 1:1690 BELTLINE RD SW STE B
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5505
Mailing Address - Country:US
Mailing Address - Phone:256-621-2244
Mailing Address - Fax:800-607-1947
Practice Address - Street 1:1690 BELTLINE RD SW STE B
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5505
Practice Address - Country:US
Practice Address - Phone:256-621-2244
Practice Address - Fax:800-607-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty