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NPI Code Detail

MEDICARE: AD ASTRA AUTISM CENTERS LLC

MEDICARE: AD ASTRA AUTISM CENTERS 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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1710762760
Entity Type Code : Organization
Provider Name (Legal Business Name) : AD ASTRA AUTISM CENTERS LLC
Provider Business Mailing Address
First Line : 1218 OAK BOROUGH DR
Second Line :
City : BALLWIN
State : MO
Zip : 63021-8330
Country : US
Telephone Number : 636-579-2250
Fax Number :
Provider Business Practice Location Address
First Line : 1972 INNERBELT BUSINESS CENTER DR
Second Line :
City : OVERLAND
State : MO
Zip : 63114-5760
Country : US
Telephone Number : 636-579-2250
Fax Number :
Authorized Official
Title or Position : COFOUNDER
Name : MR. AKASH SARKAR
Credential :
Telephone Number : 636-579-2500
Provider Enumeration Date : 08/29/2023
Last Update Date : 03/14/2025

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Directions to “AD ASTRA AUTISM CENTERS LLC ” Practice Location

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