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Organization
AUTISM CONNECTION INC.
Active
Organization
AUTISM CONNECTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANASTASIA KOUKOULIS MA.T (OWNER/DIRECTOR)
(443) 457-3354
Entity
Organization
Contact information
Practice address
101 E WHEEL RD, BEL AIR, MD 21015-6114
(443) 457-3354
Mailing address
101 E WHEEL RD, BEL AIR, MD 21015-6114
(443) 457-3354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106S00000X
Behavior Technician
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
11/30/2022
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