Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northshore Autism Center, LLC

Organization Early Intervention Provider Agency · NPI 1629512652

Northshore Autism Center, LLC is an Early Intervention Provider Agency in Mandeville, Louisiana. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Jackson Ave
Mandeville, LA 70448-5328
Phone: (985) 502-1884
Fax: (504) 617-7811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1629512652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Favre — Director · (985) 502-1884
NPI enumeratedDecember 9, 2016
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020
Mailing address345 Forest Brook Blvd, Mandeville, LA 70448-8474

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