| Cincinnati Center For Autism | |
| 
					100 Office Park Drive Suite H Fairfield OH 45014  | |
| (513) 874-6789 | |
| (513) 874-6787 | 
| Full Name | Cincinnati Center For Autism | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 100 Office Park Drive, Fairfield, Ohio | 
| Authorized Official Name and Position | Laurel D. Nelson (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 5138746789 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cincinnati Center For Autism 100 Office Park Drive Suite H Fairfield OH 45014 Ph: (513) 874-6789  | Cincinnati Center For Autism 100 Office Park Drive Suite H Fairfield OH 45014 Ph: (513) 874-6789  | 
| NPI Number | 1053688218 | 
|---|---|
| Provider Enumeration Date | 11/16/2011 | 
| Last Update Date | 11/16/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053688218 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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