<Unavail>
LBN: Interdisciplinary Community Autism Network, Inc
<Unavail> is an health care organization with primary practice located at 409 E Cook Rd Suite 100, Fort Wayne IN 46825-3600. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Interdisciplinary Community Autism Network, Inc can be contacted via phone (260) 498-9933, or through Souder, Marla Jean via phone (260) 498-9933.
Contact Information
Primary practice address
409 E Cook Rd Suite 100
Fort Wayne IN 46825-3600
Phone: (260) 498-9933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042225A | Indiana |
| Behavioral Health & Social Service Providers / School | 103TS0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1336579754 |
|---|---|
| LBN Legal business name | Interdisciplinary Community Autism Network, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Souder, Marla Jean PSYD, HSPP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2013 |
| Last updated | Nov 21st, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Popular Providers
-
Neighborhood Mentoring Academy Inc.
916 E Hawthorne St , Fort Wayne IN 46806-3144 -
Life Stages Therapy Center, Inc
409 E Cook Rd Suite 100, Fort Wayne IN 46825-3600 -
Destiny Life Center Cog
518 E Jefferson Blvd , Fort Wayne IN 46802-3204 -
Bonnie Kiser Llc
10315 Dawsons Creek Blvd , Fort Wayne IN 46825-1912 -
Catherine Jantzen, Llc
6334 Constitution Dr , Fort Wayne IN 46804-1518 -
Core Dynamics
10315 Dawsons Creek Blvd Ste E , Fort Wayne IN 46825-1912 -
New Wave Behavior Management, Llc.
4610 Fairfield Ave , Fort Wayne IN 46807-2721 -
Sky Point Social Services
5800 Fairfield Avenue Ste 265, Fort Wayne IN 46807