Provider Demographics
NPI:1538957493
Name:ALL EARS AUTISM SERVICES, LLC
Entity type:Organization
Organization Name:ALL EARS AUTISM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:GORHAM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:972-896-5083
Mailing Address - Street 1:3641 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-0162
Mailing Address - Country:US
Mailing Address - Phone:972-896-5083
Mailing Address - Fax:972-696-0799
Practice Address - Street 1:3641 ACORN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-0162
Practice Address - Country:US
Practice Address - Phone:972-896-5083
Practice Address - Fax:972-696-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty