Provider Demographics
NPI:1669878708
Name:AUTISM PROJECT OF PALM BEACH COUNTY
Entity type:Organization
Organization Name:AUTISM PROJECT OF PALM BEACH COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-758-9323
Mailing Address - Street 1:1310 N OLD CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-758-9323
Mailing Address - Fax:561-296-1791
Practice Address - Street 1:1310 N OLD CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-758-9323
Practice Address - Fax:561-296-1791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL858012707331C1251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable