Provider Demographics
NPI:1174158745
Name:AOUDE AUTISM AND MEDICAL CENTER
Entity type:Organization
Organization Name:AOUDE AUTISM AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NASSIM
Authorized Official - Middle Name:SALIM
Authorized Official - Last Name:AOUDE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:508-688-0353
Mailing Address - Street 1:54 HOPEDALE ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1700
Mailing Address - Country:US
Mailing Address - Phone:508-381-2895
Mailing Address - Fax:508-381-2896
Practice Address - Street 1:54 HOPEDALE ST
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1700
Practice Address - Country:US
Practice Address - Phone:508-381-2895
Practice Address - Fax:508-381-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health