| Autism In Motion Clinics, Llc | |
|
22461 I 30 Ste 1100b Bryant AR 72022-2379 | |
| (404) 935-8283 | |
| Not Available |
| Full Name | Autism In Motion Clinics, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 22461 I 30 Ste 1100b, Bryant, Arkansas |
| Authorized Official Name and Position | Stephen Louis Dicarlo (CREDENTIALING ASSISTANT MANAGER) |
| Authorized Official Contact | 8553240885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism In Motion Clinics, Llc 3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 Ph: (855) 324-0885 | Autism In Motion Clinics, Llc 22461 I 30 Ste 1100b Bryant AR 72022-2379 Ph: (404) 935-8283 |
| NPI Number | 1255850525 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255850525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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