Provider Demographics
NPI:1063927606
Name:THE ONE WORLD CENTER FOR AUTISM, INC.
Entity type:Organization
Organization Name:THE ONE WORLD CENTER FOR AUTISM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/ MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABILA
Authorized Official - Middle Name:VIOLET
Authorized Official - Last Name:TAZANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-618-8395
Mailing Address - Street 1:7401 FORBES BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2288
Mailing Address - Country:US
Mailing Address - Phone:301-618-8395
Mailing Address - Fax:
Practice Address - Street 1:7401 FORBES BLVD STE A
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2288
Practice Address - Country:US
Practice Address - Phone:130-161-8839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty