Provider Demographics
NPI:1790153617
Name:ANSWERS FOR AUTISM, LLC
Entity Type:Organization
Organization Name:ANSWERS FOR AUTISM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CRARY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:402-812-5939
Mailing Address - Street 1:6424 S 150TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137
Mailing Address - Country:US
Mailing Address - Phone:402-812-5939
Mailing Address - Fax:402-891-8860
Practice Address - Street 1:6424 S 150TH ST.
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137
Practice Address - Country:US
Practice Address - Phone:402-812-5939
Practice Address - Fax:402-891-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1-14-9679251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026666400Medicaid