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Organization

AUTISM SPECTRUM THERAPIES OF DELAWARE, LLC

Active
Other names
Wisconsin Early Autism Project
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA WHALEN (DIRECTOR, CONTRACTS & CREDENTIALING)
(508) 363-0200
Entity
Organization

Contact information

Practice address
1210 FOURIER DRIVE, SUITE #100, MADISON, WI 53717-1969
(608) 662-9327
(608) 662-9041
Mailing address
1242 FOURIER DR STE 100, MADISON, WI 53717-2096
(608) 662-9327
(608) 662-9041

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
Primary
HFS 61.91
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42223400
WI
Enumeration date
09/25/2007
Last updated
08/04/2026
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