# AUTISM THERAPUETIC SERVICES LLC

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

## Provider details

- **NPI number:** 1114446432
- **Authorized official:** PETER GITOBU INOTI (MANAGER)
- **Authorized official phone:** (774) 303-8186

## Contact information

- **Practice address:** 25 BJORKLUND AVE, WORCESTER, MA 01605-1065
- **Practice address phone:** (774) 303-8186
- **Mailing address:** 25 BJORKLUND AVE, WORCESTER, MA 01605-1065
- **Mailing address phone:** (774) 303-8186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2017
- **Last updated:** 07/21/2022