Provider Demographics
NPI:1700667136
Name:AUTISM CARE PLUS LLC
Entity Type:Organization
Organization Name:AUTISM CARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUDDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKHOPADHYAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-425-4324
Mailing Address - Street 1:2001 ECHO PL # NA
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4832
Mailing Address - Country:US
Mailing Address - Phone:213-425-4324
Mailing Address - Fax:
Practice Address - Street 1:17350 STATE HIGHWAY 249 STE 22019580
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1147
Practice Address - Country:US
Practice Address - Phone:510-239-7257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty