Healthcare Provider Details

I. General information

NPI: 1235956723
Provider Name (Legal Business Name): ALL TOGETHER AUTISM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 SUNNYBROOK RD STE 140
RALEIGH NC
27610-2784
US

IV. Provider business mailing address

123 SUNNYBROOK RD STE 140
RALEIGH NC
27610-2784
US

V. Phone/Fax

Practice location:
  • Phone: 919-268-8054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MOORE
Title or Position: MANAGER
Credential:
Phone: 708-446-9339