Provider Demographics
NPI:1588162242
Name:COMPREHENSIVE AUTISM SPECTRUM THERAPIES
Entity type:Organization
Organization Name:COMPREHENSIVE AUTISM SPECTRUM THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEEDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, BCBA, LBA
Authorized Official - Phone:808-726-5591
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:HI
Mailing Address - Zip Code:96771-0612
Mailing Address - Country:US
Mailing Address - Phone:808-726-5591
Mailing Address - Fax:
Practice Address - Street 1:18-4427 MAUNA LOA DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96771-9677
Practice Address - Country:US
Practice Address - Phone:808-726-5591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIBA-210103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty