| Autism Behavior Consulting Group, Inc | |
|
66-434 Kamehameha Highway Haleiwa HI 96712 | |
| (808) 277-7736 | |
| (808) 748-0202 |
| Full Name | Autism Behavior Consulting Group, Inc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 66-434 Kamehameha Highway, Haleiwa, Hawaii |
| Authorized Official Name and Position | Amy Wiech (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8082777736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavior Consulting Group, Inc Po Box 1162 Waialua HI 96791-1162 Ph: (808) 637-7736 | Autism Behavior Consulting Group, Inc 66-434 Kamehameha Highway Haleiwa HI 96712 Ph: (808) 277-7736 |
| NPI Number | 1639401375 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639401375 | NPI | - | NPPES |
| 1245426865 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1041581 (Hawaii) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 1041581 (Hawaii) | Primary |
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