CHILDREN'S AUTISM CENTER INC NPI 1215105663

NPI Information

  • NPI: 1215105663
  • Provider Name: CHILDREN'S AUTISM CENTER, INC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 5601 COVENTRY LN
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 459-6040

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NPI Details

CHILDREN'S AUTISM CENTER, INC is a developmental disabilities clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). CHILDREN'S AUTISM CENTER, INC NPI is 1215105663. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5601 COVENTRY LN
FORT WAYNE, IN
ZIP 46804-145
Phone: (260) 459-6040
Fax: (260) 459-6010

The provider's authorized official is Jill Diane Forte .
The authorized official title is Board President and has the following contact phone number (260) 459-6040.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 5/29/2025.

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
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

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This page was last updated on: 11/21/2025

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