# ANDERSON CENTER FOR AUTISM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073984340
- **Authorized official:** ALYSSA CENTONZE MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (845) 889-9507

## Contact information

- **Practice address:** 4885 ROUTE 9, STAATSBURG, NY 12580-6028
- **Practice address phone:** (845) 889-9507
- **Mailing address:** PO BOX 367, STAATSBURG, NY 12580-0367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 025175 | NY | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015