Provider Demographics
NPI:1891322657
Name:AUTISM BEHAVIORAL LINKS
Entity Type:Organization
Organization Name:AUTISM BEHAVIORAL LINKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:NYAGA
Authorized Official - Last Name:GATHECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-955-3995
Mailing Address - Street 1:945 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4613
Mailing Address - Country:US
Mailing Address - Phone:774-253-1560
Mailing Address - Fax:
Practice Address - Street 1:945 CONCORD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4613
Practice Address - Country:US
Practice Address - Phone:508-955-3995
Practice Address - Fax:508-784-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty