Provider Demographics
NPI:1992346936
Name:THE AUTISM PEACE, LLC
Entity type:Organization
Organization Name:THE AUTISM PEACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BCBA
Authorized Official - Prefix:MS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, COBA
Authorized Official - Phone:614-395-5823
Mailing Address - Street 1:607 FRIDAY RD
Mailing Address - Street 2:
Mailing Address - City:WEST MANCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45382-9600
Mailing Address - Country:US
Mailing Address - Phone:614-395-5823
Mailing Address - Fax:937-583-4027
Practice Address - Street 1:607 FRIDAY RD
Practice Address - Street 2:
Practice Address - City:WEST MANCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45382-9600
Practice Address - Country:US
Practice Address - Phone:614-395-5823
Practice Address - Fax:937-583-4027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty