Healthcare Provider Details

I. General information

NPI: 1922925528
Provider Name (Legal Business Name): AUTISM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21510 104TH STREET CT E
BONNEY LAKE WA
98391-3727
US

IV. Provider business mailing address

21510 104TH STREET CT E
BONNEY LAKE WA
98391-3727
US

V. Phone/Fax

Practice location:
  • Phone: 302-306-4395
  • 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

VIII. Authorized Official

Name: ALEX KIBOI MURIITHI
Title or Position: OWNER
Credential:
Phone: 302-306-4395