Provider Demographics
NPI:1548654064
Name:A STEP AHEAD AUTISM SOLUTIONS
Entity type:Organization
Organization Name:A STEP AHEAD AUTISM SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE SUPERVISOR
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 1:4610 25TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-3239
Mailing Address - Country:US
Mailing Address - Phone:765-628-7400
Mailing Address - Fax:765-865-8549
Practice Address - Street 1:4610 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3239
Practice Address - Country:US
Practice Address - Phone:765-628-7400
Practice Address - Fax:765-865-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty