Provider Demographics
NPI:1336442698
Name:WITHIN REACH - CENTER FOR AUTISM, INC.
Entity Type:Organization
Organization Name:WITHIN REACH - CENTER FOR AUTISM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:HULL
Authorized Official - Last Name:BELLACI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:504-885-4327
Mailing Address - Street 1:1515 DEMOSTHENES ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2701
Mailing Address - Country:US
Mailing Address - Phone:504-885-4327
Mailing Address - Fax:
Practice Address - Street 1:1515 DEMOSTHENES ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2701
Practice Address - Country:US
Practice Address - Phone:504-885-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1-10-7522103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty