| NPI | 1255601464 |
|---|---|
| Former Legal Business Name | FORMER NAME: ALLEN AUTISM BEHAVIORAL CONSULTANTS |
| Entity Type | Organization |
| Authorized Contact | MARY C. ALLEN-DES JARDINS Owner 563-343-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2019-06-20 |