Organization · Type 2 NPI
The Illinois Center for Autism
Voluntary or Charitable Agency · Fairview Heights, IL
NPI number
1922378991
Active
Practice location
548 S Ruby Ln
Fairview Heights, IL 62208-2614
Fax (618) 394-9869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Art Therapist | 221700000X | None listed |
| Music Therapist | 225A00000X | None listed |
| Speech-Language Pathologist | 235Z00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
Other voluntary or charitable agency providers in Fairview Heights
About NPI 1922378991
The Illinois Center for Autism's National Provider Identifier is 1922378991, issued on Jan 9, 2012. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Fairview Heights, IL. The record was last updated on Jan 9, 2012.