Organization
AUTISM CONNECTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE KOUKOULIS MA.T (OWNER/DIRECTOR)
(443) 457-3354
Entity
Organization
Contact information
Practice address
101 E WHEEL RD, BEL AIR, MD 21015-6114
(727) 366-0323
Mailing address
3359 CHEVERLY CT, ABINGDON, MD 21009-2854
(727) 366-0323
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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