Charleston Autism Academy is a
Behavior Analyst based in Wando, South Carolina. Charleston Autism Academy is licensed to practice in * (Not Available) (license number ) and their current practice location is
480 Jessen Ln, Ste D, Wando, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(843) 881-0330.
NPI number for Charleston Autism Academy is 1356664437 and their current mailing address is 480 Jessen Ln, Ste D, Wando, South Carolina. Charleston Autism Academy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356664437.
Healthcare Provider's Profile
| Full Name | Charleston Autism Academy |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 480 Jessen Ln, Wando, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356664437
- Provider Enumeration Date: 03/03/2010
- Last Update Date: 10/07/2012
Medical Identifiers
Medical identifiers for Charleston Autism Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356664437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 3529 (South Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 4491 (South Carolina) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charleston Autism Academy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charleston Autism Academy
480 Jessen Ln, Ste D,
Wando, SC 29492-7915
Ph: (843) 881-0330 | Charleston Autism Academy
480 Jessen Ln, Ste D,
Wando, SC 29492-7915
Ph: (843) 881-0330 |
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