Provider Demographics
NPI:1851009054
Name:A SENSE OF AUTISM
Entity Type:Organization
Organization Name:A SENSE OF AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-667-5576
Mailing Address - Street 1:PO BOX 2512
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48123-2512
Mailing Address - Country:US
Mailing Address - Phone:352-667-5576
Mailing Address - Fax:
Practice Address - Street 1:17600 W WARREN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3509
Practice Address - Country:US
Practice Address - Phone:352-667-5576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1710463005Medicaid