Organization
AUTISM SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE DAVID BEIRNE PH.D & BCBA-D (CEO)
(304) 525-8014
Entity
Organization
Contact information
Practice address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
(304) 525-8026
Mailing address
10 6TH AVE W, HUNTINGTON, WV 25701-0028
(304) 525-8014
(304) 525-8026
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
35
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023400003
—
WV
Enumeration date
02/14/2007
Last updated
12/09/2020
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