Organization
FAMILY AUTISM CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KOCH (OWNER)
(516) 741-9000
Entity
Organization
Contact information
Practice address
1517 FRANKLIN AVE, MINEOLA, NY 11501
(516) 741-9000
(516) 302-1820
Mailing address
1517 FRANKLIN AVE, MINEOLA, NY 11501-4804
(516) 741-9000
(516) 302-1820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
08/21/2018
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