| Keystone Autism Solutions LLC | |
|
933 S State Road 57 Ste B Washington IN 47501-4374 | |
| (765) 430-8285 | |
| Not Available |
| Full Name | Keystone Autism Solutions LLC |
|---|---|
| Speciality | Behavior Technician |
| Location | 933 S State Road 57 Ste B, Washington, Indiana |
| Authorized Official Name and Position | Mary Raub (OWNER) |
| Authorized Official Contact | 7654308285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Autism Solutions LLC 3507 W Capilano Dr West Lafayette IN 47906-8879 Ph: (765) 430-8285 | Keystone Autism Solutions LLC 933 S State Road 57 Ste B Washington IN 47501-4374 Ph: (765) 430-8285 |
| NPI Number | 1902408297 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902408297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (NU) | Primary |
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