Organization
ADVANCED AUTISM SERVICES IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALKA HERSKO MS CCC SLP (DIRECTOR)
(602) 584-9860
Entity
Organization
Contact information
Practice address
3815 RIVER CROSSING PKWY STE 100, INDIANAPOLIS, IN 46240-7766
(602) 584-9860
Mailing address
36 AIRPORT RD STE 105, LAKEWOOD, NJ 08701-7034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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