Provider Demographics
NPI:1548065865
Name:DOVE CARE AUTISM SERVICES
Entity type:Organization
Organization Name:DOVE CARE AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ATHANAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WASIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-961-8010
Mailing Address - Street 1:2101 ST PAUL ST
Mailing Address - Street 2:1ST FL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:646-961-8010
Mailing Address - Fax:
Practice Address - Street 1:2101 ST PAUL ST
Practice Address - Street 2:1ST FL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:646-961-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty