Provider Demographics
NPI:1013784974
Name:INSIGHTS TO AUTISM
Entity Type:Organization
Organization Name:INSIGHTS TO AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FARZEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:208-964-9070
Mailing Address - Street 1:10130 W 17TH PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-1280
Mailing Address - Country:US
Mailing Address - Phone:208-964-9070
Mailing Address - Fax:
Practice Address - Street 1:10130 W 17TH PL
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-1280
Practice Address - Country:US
Practice Address - Phone:208-964-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WABA60765020OtherDEPT. OF HEALTH