# AUTISM IN MOTION CLINICS, LLC

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

## Provider details

- **NPI number:** 1255850525
- **Authorized official:** STEPHEN LOUIS DICARLO (CREDENTIALING ASSISTANT MANAGER)
- **Authorized official phone:** (855) 324-0885

## Contact information

- **Practice address:** 22461 I 30 STE 1100B, BRYANT, AR 72022-2379
- **Practice address phone:** (404) 935-8283
- **Mailing address:** 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
- **Mailing address phone:** (855) 324-0885
- **Mailing address fax:** (317) 520-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 03/15/2023