Provider Demographics
NPI:1831878024
Name:GLOBAL CENTER FOR AUTISM SERVICES
Entity type:Organization
Organization Name:GLOBAL CENTER FOR AUTISM SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-429-2900
Mailing Address - Street 1:4485 FORBES BLVD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4354
Mailing Address - Country:US
Mailing Address - Phone:301-429-2900
Mailing Address - Fax:
Practice Address - Street 1:4485 FORBES BLVD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4354
Practice Address - Country:US
Practice Address - Phone:301-429-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL CENTER FOR AUTISM SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-14
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty