Organization
AUTISM IN MOTION CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LOUIS DICARLO (CREDENTIALING ASSISTANT MANAGER)
(855) 324-0885
Entity
Organization
Contact information
Practice address
22461 I 30 STE 1100B, BRYANT, AR 72022-2379
(404) 935-8283
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
03/15/2023
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