Provider Demographics
NPI:1982098315
Name:AUTISM IN MOTION THERAPY, INC.
Entity Type:Organization
Organization Name:AUTISM IN MOTION THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:954-682-7038
Mailing Address - Street 1:18800 NE 29TH AVE
Mailing Address - Street 2:UNIT 221
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2822
Mailing Address - Country:US
Mailing Address - Phone:954-682-7038
Mailing Address - Fax:
Practice Address - Street 1:18800 NE 29TH AVE
Practice Address - Street 2:UNIT 221
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2822
Practice Address - Country:US
Practice Address - Phone:954-682-7038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-14-10026103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty