Organization
FAST TRACK AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTY ROBIN TURNER-WADE MA, BCBA (DIRECTOR)
(317) 537-0487
Entity
Organization
Contact information
Practice address
11650 OLIO RD, SUITE 1000-248, FISHERS, IN 46037-7619
(317) 537-0487
Mailing address
11650 OLIO RD, SUITE 1000-248, FISHERS, IN 46037-7619
(317) 537-0487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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