Provider Demographics
NPI:1487476602
Name:AUTISM CARE PLUS INC
Entity type:Organization
Organization Name:AUTISM CARE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-628-7400
Mailing Address - Street 1:2001 ECHO PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4832
Mailing Address - Country:US
Mailing Address - Phone:833-666-2919
Mailing Address - Fax:833-666-3114
Practice Address - Street 1:2840 WILDERNESS PL UNIT AB
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5414
Practice Address - Country:US
Practice Address - Phone:833-666-2919
Practice Address - Fax:833-666-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty