Provider Demographics
NPI:1811374440
Name:AUTISM ADVOCACY AND INTERVENTION, LLC
Entity Type:Organization
Organization Name:AUTISM ADVOCACY AND INTERVENTION, LLC
Other - Org Name:AAI CA LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-208-6975
Mailing Address - Street 1:857 LEBLANC RD
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:VT
Mailing Address - Zip Code:05822-9553
Mailing Address - Country:US
Mailing Address - Phone:619-208-6975
Mailing Address - Fax:
Practice Address - Street 1:212 PROUTY DR STE 2
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9455
Practice Address - Country:US
Practice Address - Phone:802-487-9421
Practice Address - Fax:802-487-9432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty