The Autism Spark LLC
NPI #1053888164 in Webster, Massachusetts
Provider Information
- NPI Number
- 1053888164
- Entity Type
- Organization
- Organization Name
- The Autism Spark LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 26, 2018
- Last Updated
- Oct 26, 2018
Practice Location
- Address
- 30 STEFANIAK AVE
- City
- Webster
- State
- Massachusetts
- ZIP Code
- 01570-2032
- Phone
- (774) 232-4597
Authorized Official
- Name
- MISS CYNTHIA AZU, BSC
- Title
- CO-CHIEF EXECUTIVE OFFICER(CO-CEO)
- Phone
- (774) 232-4597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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