Provider Demographics
NPI:1487307229
Name:APEX AUTISM THERAPY
Entity type:Organization
Organization Name:APEX AUTISM THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIGNO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:413-330-9237
Mailing Address - Street 1:36 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-1704
Mailing Address - Country:US
Mailing Address - Phone:413-330-9237
Mailing Address - Fax:
Practice Address - Street 1:36 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-1704
Practice Address - Country:US
Practice Address - Phone:413-330-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty