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NPI Code Detail

MEDICARE: NORTH CAROLINA AUTISM CARE LLC

MEDICARE: NORTH CAROLINA AUTISM CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1679367437
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH CAROLINA AUTISM CARE LLC
Provider Business Mailing Address
First Line : 55 INIP DR
Second Line :
City : INWOOD
State : NY
Zip : 11096-1010
Country : US
Telephone Number : 516-662-5035
Fax Number : 720-970-4188
Provider Business Practice Location Address
First Line : 3511 SHANNON RD
Second Line :
City : DURHAM
State : NC
Zip : 27707-6330
Country : US
Telephone Number : 720-970-3222
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : AARON WEINSTEIN
Credential :
Telephone Number : 516-662-5035
Provider Enumeration Date : 04/07/2025
Last Update Date : 04/07/2025

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Directions to “NORTH CAROLINA AUTISM CARE LLC ” Practice Location

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