Healthcare Provider Details

I. General information

NPI: 1639055171
Provider Name (Legal Business Name): SPRING AUTISM KANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 ATLANTIC AVE
CEDARHURST NY
11516-1803
US

IV. Provider business mailing address

344 ATLANTIC AVE
CEDARHURST NY
11516-1803
US

V. Phone/Fax

Practice location:
  • Phone: 845-269-5991
  • Fax:
Mailing address:
  • Phone: 845-269-5991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YEHUDA SCHILLER
Title or Position: MEMBER
Credential:
Phone: 845-269-5991