Provider Demographics
NPI:1487361150
Name:CONNECTED IN AUTISM
Entity type:Organization
Organization Name:CONNECTED IN AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-781-0799
Mailing Address - Street 1:16979 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-8302
Mailing Address - Country:US
Mailing Address - Phone:713-781-0799
Mailing Address - Fax:
Practice Address - Street 1:16979 WHIPPOORWILL RD
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-8302
Practice Address - Country:US
Practice Address - Phone:713-781-0799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty