# QUALITY SERVICES FOR THE AUTISM COMMUNITY

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

## Provider details

- **NPI number:** 1356686042
- **Authorized official:** DR. KRISTEN DUMOULIN PHD (CLINICAL DIRECTOR)
- **Authorized official phone:** (718) 728-8476

## Contact information

- **Practice address:** 24537 60TH AVE, DOUGLASTON, NY 11362-2014
- **Practice address phone:** (718) 728-8476
- **Practice address fax:** (718) 229-7359
- **Mailing address:** 253 W 35TH ST, 16TH FLOOR, NEW YORK, NY 10001-1907
- **Mailing address phone:** (718) 728-8476
- **Mailing address fax:** (718) 229-7539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 031992-1 | NY | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2012