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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)
(727) 366-0323
Entity
Organization
Contact information
Practice address
101 E WHEEL RD, BEL AIR, MD 21015-6114
(727) 366-0323
Mailing address
3359 CHEVERLY CT, ABINGDON, MD 21009-2854
(727) 366-0323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547900201
—
MD
Enumeration date
12/01/2022
Last updated
12/01/2022
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