Provider Demographics
NPI:1780045070
Name:AUTISM SOCIETY OF AMERICA
Entity Type:Organization
Organization Name:AUTISM SOCIETY OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR INTERNAL INITIATIVES
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOCHUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-657-0881
Mailing Address - Street 1:4340 E WEST HWY STE 350
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4593
Mailing Address - Country:US
Mailing Address - Phone:301-657-0881
Mailing Address - Fax:301-657-0869
Practice Address - Street 1:4340 E WEST HWY STE 350
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4593
Practice Address - Country:US
Practice Address - Phone:301-657-0881
Practice Address - Fax:301-657-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable