Organization
AUTISM CENTER OF EXCELLENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH KUMAR BHASIN (PRESIDENT)
(919) 480-2800
Entity
Organization
Contact information
Practice address
7226 LEE DEFOREST DR STE 104, COLUMBIA, MD 21046-3239
(919) 480-2800
(919) 480-1030
Mailing address
1000 PARK FORTY PLZ STE 110, DURHAM, NC 27713-5249
(919) 480-1090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730822933
—
NC
Enumeration date
04/15/2022
Last updated
04/30/2026
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