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NPI Code Detail

MEDICARE: CARE TO CONNECT AUTISM CENTER LLC

MEDICARE: CARE TO CONNECT AUTISM CENTER 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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1528836459
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE TO CONNECT AUTISM CENTER LLC
Provider Business Mailing Address
First Line : 4285 MORSE RD STE 113
Second Line :
City : GAHANNA
State : OH
Zip : 43230-1522
Country : US
Telephone Number : 614-636-1384
Fax Number :
Provider Business Practice Location Address
First Line : 4764 HARR CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-5926
Country : US
Telephone Number : 614-599-0571
Fax Number :
Authorized Official
Title or Position : OWNER
Name : YAQUB MOHAMED
Credential : RT(R)
Telephone Number : 614-599-0571
Provider Enumeration Date : 12/20/2023
Last Update Date : 06/16/2026

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Directions to “CARE TO CONNECT AUTISM CENTER LLC ” Practice Location

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