# CLEVELAND CLINIC CENTER FOR AUTISM

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

## Provider details

- **NPI number:** 1356644074
- **Authorized official:** ALLISON NIEBERDING M.S. (CCC/SLP)
- **Authorized official phone:** (216) 448-6478

## Contact information

- **Practice address:** 2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
- **Practice address phone:** (216) 448-6478
- **Practice address fax:** (216) 448-6445
- **Mailing address:** 2801 MARTIN LUTHER KING DR., CLEVELAND, OH 44104-3815
- **Mailing address phone:** (216) 448-6478
- **Mailing address fax:** (216) 448-6445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | SP. 9706 | OH | Yes |

## Other

- **Enumeration date:** 12/20/2010
- **Last updated:** 12/20/2010