Provider Demographics
NPI:1699413823
Name:AUTISM RESOURCE CENTER
Entity Type:Organization
Organization Name:AUTISM RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:O'TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, LBA-TX
Authorized Official - Phone:512-522-2177
Mailing Address - Street 1:1202 ASHTREE CT
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1243
Mailing Address - Country:US
Mailing Address - Phone:512-522-2177
Mailing Address - Fax:877-718-0684
Practice Address - Street 1:1202 ASHTREE CT
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1243
Practice Address - Country:US
Practice Address - Phone:512-522-2177
Practice Address - Fax:877-718-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty