Organization
AUTISM SERVICES NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RUSSELL (C.F.O.)
(818) 241-6780
Entity
Organization
Contact information
Practice address
275 CUMBERLAND PARKWAY, SUITE 316, MECHANICSBURG, PA 17005
(800) 306-8602
(818) 241-6853
Mailing address
505 N. BRAND BLVD, SUITE 1000, GLENDALE, CA 91203
(855) 295-3276
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-00-0010
—
103K00000X
Behavior Analyst
1-04-1754
—
Other
Enumeration date
03/05/2008
Last updated
08/28/2014
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