# APPLIED SUPPORT FOR AUTISM LLC

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

## Provider details

- **NPI number:** 1861935942
- **Authorized official:** MS. MARILYN LIZARDO M.S. SP. ED. (ABA PROVIDER)
- **Authorized official phone:** (718) 313-6979

## Contact information

- **Practice address:** 915 BUSHWICK AVE, BROOKLYN, NY 11221-3738
- **Practice address phone:** (718) 313-6979
- **Mailing address:** 915 BUSHWICK AVE, BROOKLYN, NY 11221-3738
- **Mailing address phone:** (718) 313-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 800913131 | NY | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016