Provider Demographics
NPI:1366120610
Name:ABSOLUTE AUTISM THERAPY, LLC
Entity type:Organization
Organization Name:ABSOLUTE AUTISM THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:EVA
Authorized Official - Last Name:GITTINS
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:505-738-5906
Mailing Address - Street 1:6801 JEFFERSON ST
Mailing Address - Street 2:NE STE 150 PMB 3332
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109
Mailing Address - Country:US
Mailing Address - Phone:505-605-6572
Mailing Address - Fax:505-944-1927
Practice Address - Street 1:6801 JEFFERSON ST
Practice Address - Street 2:NE STE 150 PMB 3332
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-605-6572
Practice Address - Fax:505-944-1927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty