MEDICARE: PACE AUTISM SERVICES, 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326292475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PACE AUTISM SERVICES, LLC

Provider Business Mailing Address
First Line	:	9323 W GREENFIELD AVE
Second Line	:	SUITE B
City	:	WEST ALLIS
State	:	WI
Zip	:	53214-2733
Country	:	US
Telephone Number	:	414-257-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	9323 W GREENFIELD AVE
Second Line	:	SUITE B
City	:	WEST ALLIS
State	:	WI
Zip	:	53214-2733
Country	:	US
Telephone Number	:	414-257-1212
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PROGRAM DIRECTOR
Name	:	MRS. HEIDI ANNE HEYMAN
Credential	:
Telephone Number	:	414-257-1212

Provider Enumeration Date	:	11/14/2008
Last Update Date	:	11/14/2008

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1093934051 — MRS. ELIZABETH ANNE LETTERIO M.ED
Practice Location Address:

488 WEST CENTER STREET , 2
BRIDGEWATER, MA
02379-2733

Practice Phone: 508-297-0015
Practice Fax:

1285256438 — LATINO FAMILY INSTITUTE, INC.
Practice Location Address:

1501 W CAMERON AVE STE 240
WEST COVINA, CA
91790-2733

Practice Phone: 626-472-0123
Practice Fax: 626-337-8752

1033818380 — ABILITY INTEGRATED CARE
Practice Location Address:

5079 HARDWOODS DR
WEST BLOOMFIELD, MI
48323-2733

Practice Phone: 313-598-3631
Practice Fax:

1164211835 — MRS. LOUNA MICHEL-MONTROSE RN, RT
Practice Location Address:

2733 DIVIDE ST W
WEST FARGO, ND
58078-6304

Practice Phone: 701-799-6933
Practice Fax:

1629934039 — AMY T STADLER
Practice Location Address:

1433 S 87TH ST
WEST ALLIS, WI
53214-4358

Practice Phone: 414-305-9020
Practice Fax:

Directions to “PACE AUTISM SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.