Organization
AUTISM INTERVENTION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WINTER (C.E.O.)
(818) 241-6780
Entity
Organization
Contact information
Practice address
324 GROVE STREET, WORCESTER, MA 01605
(855) 295-3276
(818) 241-6853
Mailing address
324 GROVE STREET, WORCESTER, MA 01605
(855) 646-8247
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4817
MA
2251P0200X
Pediatric Physical Therapist
—
MA
225XP0200X
Pediatric Occupational Therapist
—
MA
235Z00000X
Speech-Language Pathologist
9482
MA
Other
Enumeration date
12/07/2010
Last updated
04/08/2015
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