| Organization Name: | AUTISM SERVICES OF MICHIANA LLC |
| NPI Number: | 1982059069 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRY R FORZLEY (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Mailing Address: | 4201 Cottage Ave Mishawaka |
| State: | IN US |
| Postal Code: | 465443848 |
| Phone Number: | 5743830107 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2016 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | 1-16-21690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |