Provider Demographics
NPI:1700036597
Name:AUTISM CENTER FOR EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:AUTISM CENTER FOR EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPECIAL EDUCATION CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-840-1888
Mailing Address - Street 1:1140 BURNT TAVERN RD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-1496
Mailing Address - Country:US
Mailing Address - Phone:732-840-1888
Mailing Address - Fax:732-840-1180
Practice Address - Street 1:1140 BURNT TAVERN RD
Practice Address - Street 2:SUITE 2C
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-1496
Practice Address - Country:US
Practice Address - Phone:732-840-1888
Practice Address - Fax:732-840-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services