Provider Demographics
NPI:1831499896
Name:AUTISM STRATEGIES AND PROGRAMS, LLC
Entity Type:Organization
Organization Name:AUTISM STRATEGIES AND PROGRAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DESABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:203-292-6949
Mailing Address - Street 1:303 LINWOOD AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-4900
Mailing Address - Country:US
Mailing Address - Phone:203-292-6949
Mailing Address - Fax:
Practice Address - Street 1:303 LINWOOD AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-4900
Practice Address - Country:US
Practice Address - Phone:203-292-6949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0-04-1200103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty