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General NPI Number Information
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NPI Number | 1730949884
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Entity Type | Organization
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Legal Business Name | THE CORPORATION FOR AUTISM SERVICES DEVELOPMENT AND GROWTH, INC.
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 20 S MAIN ST
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City | RITTMAN
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State | OH
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Zip | 44270-1438
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Country | US
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Telephone | 330-347-0271
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Fax |
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Provider Business Mailing Address
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Address Line | 13942 HATFIELD RD
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City | RITTMAN
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State | OH
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Zip | 44270-9526
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Country | US
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Telephone | 330-347-0271
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASON MEADE
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Credential | MHSA
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Telephone | 330-347-0271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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