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AUTISM PERSONAL COACH NPI 1124488879


NPI Information

NPI: 1124488879
Provider Name: AUTISM PERSONAL COACH
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1258 BEACH AVE
LAKEWOOD, OH
ZIP 44107
Phone: (216) 215-6805
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AUTISM PERSONAL COACH is a day training developmentally disabled services in Lakewood, OH. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. AUTISM PERSONAL COACH NPI is 1124488879. The provider is registered as an organization entity type.

The provider's business location address is:

1258 BEACH AVE
LAKEWOOD, OH
ZIP 44107-117
Phone: (216) 215-6805

The provider's authorized official is Doug Blecher .
The authorized official title is Founder and has the following contact phone number (216) 336-5889.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 2/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesSP. 7093OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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