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NPI Code Detail

MEDICARE: AUTISM EDUCATION AND RESEARCH INSTITUTE

MEDICARE: AUTISM EDUCATION AND RESEARCH INSTITUTE
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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)442830PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730312257
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM EDUCATION AND RESEARCH INSTITUTE
Provider Business Mailing Address
First Line : PO BOX 1786
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-6786
Country : US
Telephone Number : 866-727-2374
Fax Number : 866-501-2374
Provider Business Practice Location Address
First Line : 200 RENAISSANCE DR
Second Line : SUITE 401, WARNER CENTER
City : BUTLER
State : PA
Zip : 16001-7612
Country : US
Telephone Number : 866-727-2374
Fax Number : 866-501-2374
Authorized Official
Title or Position : CEO
Name : MATTHEW FLYNN
Credential :
Telephone Number : 724-850-8118
Provider Enumeration Date : 09/01/2009
Last Update Date : 10/05/2015

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Directions to “AUTISM EDUCATION AND RESEARCH INSTITUTE ” Practice Location

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