Organization
PREMIER AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HERSKO MS (OWNER)
(502) 305-5730
Entity
Organization
Contact information
Practice address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(502) 305-5730
(502) 305-5740
Mailing address
211 BOULEVARD OF AMERICAS STE 402, LAKEWOOD, NJ 08701-4778
(502) 305-5730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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