Former Name: Allen Autism Behavioral Consultants

LBN: Quad Cities Service Providers, Llc
Former Name: Allen Autism Behavioral Consultants is an health care organization with primary practice located at 5433 Tremont Ave , Davenport IA 52807. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Quad Cities Service Providers, Llc can be contacted via phone (563) 343-9874, or through Allen-Des Jardins, Mary C. via phone (563) 343-9874.

Contact Information

Primary practice address
5433 Tremont Ave Davenport IA 52807
Phone: (563) 343-9874
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen-Des Jardins, Mary C.
Phone: (563) 343-9874

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1255601464
LBN Legal business name Quad Cities Service Providers, Llc
DBA Doing business as Former Name: Allen Autism Behavioral Consultants
Authorized official Allen-Des Jardins, Mary C.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2012
Last updated Jun 20th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255601464 NPPES
Iowa MEDICAID 1255601464

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