Organization
FORT WAYNE AUTISM CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BIERMAN (PRESIDENT)
(260) 245-1455
Entity
Organization
Contact information
Practice address
2817 E DUPONT RD, FORT WAYNE, IN 46825-1668
(260) 245-1455
Mailing address
172 W CARMEL DR, CARMEL, IN 46032-2526
(317) 815-5501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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