Provider Demographics
NPI:1194094110
Name:AUTISM PARENT CARE, LLC
Entity type:Organization
Organization Name:AUTISM PARENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-503-1296
Mailing Address - Street 1:664 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062
Mailing Address - Country:US
Mailing Address - Phone:317-503-1296
Mailing Address - Fax:
Practice Address - Street 1:12354 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5807
Practice Address - Country:US
Practice Address - Phone:317-503-1296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTISM PARENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-20
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-11-8855103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty