NPI 1104582964

Autism Therapeutic Services

Organisation Behavior Analyst Louisville, KY

Practice location

Address: 9850 von Allmen CT STE 201, Louisville, KY 40241-2855
Phone: (910) 484-1711
Mailing address: 568 Sandhurst Dr, Fayetteville, NC 28304-4426

Authorised official

Name: Terra Rae Scott
Title: Svp Outpatient Pediatrics
Phone: (303) 437-4364

Registered specialties (4)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Registry record

NPI: 1104582964
Entity type: Organization
NPI issued: 16 Nov 2021
Record last updated: 10 Nov 2023

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.