NPI 1346848314
Premier Autism Services
Practice location
- Address
- 312 S 4th St STE 700, Louisville, KY 40202-3046
- Phone
- (502) 305-5730
- Fax
- (502) 305-5740
- Mailing address
- 211 Boulevard of Americas STE 402, Lakewood, NJ 08701-4778
Authorised official
- Name
- Jason Hersko
- Title
- Owner
- Phone
- (502) 305-5730
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1346848314
- Entity type
- Organization
- NPI issued
- 13 Oct 2020
- Record last updated
- 13 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.