Healthcare Provider Details

I. General information

NPI: 1255236204
Provider Name (Legal Business Name): PIONEER AUTISM SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10723 DOTY RD
PICKERINGTON OH
43147-9448
US

IV. Provider business mailing address

10723 DOTY RD
PICKERINGTON OH
43147-9448
US

V. Phone/Fax

Practice location:
  • Phone: 319-202-5837
  • Fax:
Mailing address:
  • Phone: 319-202-5837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RAM BHATTARAI
Title or Position: OWNER
Credential:
Phone: 319-202-5837