MEDICARE: AUTISM ACHIEVEMENT UNLIMITED, INC.

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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1730327768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTISM ACHIEVEMENT UNLIMITED, INC.

Provider Business Mailing Address
First Line	:	5506 SALEM VIEW RD
Second Line	:
City	:	PFAFFTOWN
State	:	NC
Zip	:	27040-9489
Country	:	US
Telephone Number	:	336-473-5061
Fax Number	:

Provider Business Practice Location Address
First Line	:	5506 SALEM VIEW RD
Second Line	:
City	:	PFAFFTOWN
State	:	NC
Zip	:	27040-9489
Country	:	US
Telephone Number	:	336-473-5061
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JILL C BATTERSBY
Credential	:	M.S., BCABA
Telephone Number	:	336-473-5061

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	01/29/2009

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