Healthcare Provider Details
I. General information
NPI: 1417446535
Provider Name (Legal Business Name): RESPONDING TO AUTISM SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4206 W 24TH AVE STE B101
KENNEWICK WA
99338-2321
US
IV. Provider business mailing address
4206 W 24TH AVE STE B101
KENNEWICK WA
99338-2321
US
V. Phone/Fax
- Phone: 509-396-9230
- Fax: 509-931-0881
- Phone: 509-396-9230
- Fax: 509-931-0881
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
LINDGREN
Title or Position: DIRECTOR
Credential: M.ED.
Phone: 509-396-9230