Provider Demographics
NPI:1669258000
Name:A IS FOR AUTISM, LLC
Entity type:Organization
Organization Name:A IS FOR AUTISM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CADE
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:337-661-9974
Mailing Address - Street 1:3207 TROWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-2156
Mailing Address - Country:US
Mailing Address - Phone:337-661-9974
Mailing Address - Fax:888-256-7070
Practice Address - Street 1:3207 TROWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-2156
Practice Address - Country:US
Practice Address - Phone:337-661-9974
Practice Address - Fax:888-256-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003231642FMedicaid