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Two Roads Autism Center, Inc.

Details

Name: Two Roads Autism Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 01 May 2023 (2 years ago)
Entity Number: 001-076-868
Register Number: 001076868
County: Tuscaloosa
Place of Formation: Alabama
Principal Address: 17 Thornbury RdTuscaloosa, AL 35406
Principal Address ZIP Code: 35406
Registered Office Street Address: 3722 PALISADES DRTuscaloosa, AL 35405
Registered Office Street Address ZIP Code: 35405

Activities To provide medically necessary treatment for individuals with ASD. See attached information.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790475390 2023-05-09 2023-05-09 35 THE DOWNS, TUSCALOOSA, AL, 354015843, US 3722 PALISADES DR, TUSCALOOSA, AL, 354053484, US

Contacts

Phone +1 205-792-2808

Authorized person

Name RYAN ROBINSON
Role CEO
Phone 2057922808

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Director

Name Role Address
Robinson, Ryan Director 17 Thornbury RdTuscaloosa, AL 35406
Perry, Taylor T Jr. Director 3295 Powe Rd.Demopolis, AL 36732
Perry, Eugenia Director 17 Thornbury RdTuscaloosa, AL 35406

Agent

Name Role Address
Perry, Eugenia Agent 17 Thornbury RdTuscaloosa, AL 35406

Incorporator

Name Role Address
Poellnitz, Farley A Incorporator 1201 Greensboro Ave.Tuscaloosa, AL 35401

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State