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NPI Code Detail

MEDICARE: ALL TOGETHER AUTISM LLC

MEDICARE: ALL TOGETHER AUTISM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1235956723
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL TOGETHER AUTISM LLC
Provider Business Mailing Address
First Line : 123 SUNNYBROOK RD
Second Line :
City : RALEIGH
State : NC
Zip : 27610-2783
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 708-446-9339
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DANIEL MOORE
Credential :
Telephone Number : 708-446-9339
Provider Enumeration Date : 09/25/2024
Last Update Date : 02/24/2026

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