Healthcare Provider Details

I. General information

NPI: 1558227850
Provider Name (Legal Business Name): MARYLAND AUTISM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MARTHA RD
MONSEY NY
10952-1406
US

IV. Provider business mailing address

5 PARAGON DR STE 105
MONTVALE NJ
07645-1739
US

V. Phone/Fax

Practice location:
  • Phone: 845-327-7111
  • Fax:
Mailing address:
  • Phone: 845-327-7111
  • 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: ESTELLE PARNES
Title or Position: CLINICAL EXECUTIVE DIRECTOR
Credential: MA/LBA/BCBA
Phone: 845-327-7111