# CENTER FOR AUTISM SPECTRUM DISORDERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Autism Program at Southern Illinois University Carbondale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477797801
- **Authorized official:** VALERIE BOYER PH.D. (CENTER DIRECTOR)
- **Authorized official phone:** (618) 453-7130

## Contact information

- **Practice address:** 625 WHAM DR -MAILCODE 6607, SOUTHERN ILLINOIS UNIVERSITY CARBONDALE, CARBONDALE, IL 62901-4313
- **Practice address phone:** (618) 536-2122
- **Practice address fax:** (618) 453-7178
- **Mailing address:** 625 WHAM DR, SOUTHERN ILLINOIS UNIVERSITY CARBONDALE, CARBONDALE, IL 62901-4313
- **Mailing address phone:** (618) 536-2122
- **Mailing address fax:** (618) 453-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 11/28/2012