Organization
CHILDREN'S AUTISM CENTER, INC
Active
Organization
CHILDREN'S AUTISM CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL DIANE FORTE M.S. (BOARD PRESIDENT)
(260) 459-6040
Entity
Organization
Contact information
Practice address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
(260) 459-6010
Mailing address
5601 COVENTRY LN, FORT WAYNE, IN 46804-7145
(260) 459-6040
(260) 459-6010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
03/12/2026
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