Provider Demographics
NPI:1730978792
Name:AUTISM REIMAGINED CENTER LLC
Entity type:Organization
Organization Name:AUTISM REIMAGINED CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-663-3008
Mailing Address - Street 1:221 RIVER STREET,
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:571-663-3008
Mailing Address - Fax:571-597-1199
Practice Address - Street 1:221 RIVER STREET,
Practice Address - Street 2:9TH FLOOR
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:571-663-3008
Practice Address - Fax:571-597-1199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTISM REHABILITATION CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty