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Organization

AUTISM SERVICES CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMIE DAVID BEIRNE BCBAD (CEO)
(304) 525-8014
Entity
Organization

Contact information

Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
(304) 525-8026
Mailing address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
(304) 525-8026

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/06/2019
Last updated
01/29/2020
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