Active NPI
Autumn Rose Nation, BCBA, LBA
- Behavior Analyst
- Florence, AL
National Provider Identifier
1013665298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2022-030
- Practice address
- 112 Titan Dr
Florence, AL 35630-1197 - Phone
- (256) 275-7089
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133002399 | VA | |
| Behavior Analyst | 103K00000X | 2022-030 | AL | Primary |
Addresses
Primary practice location
112 Titan Dr
Florence, AL 35630-1197
Mailing address
320 Peace and Plenty LN
Stephens City, VA 22655-5834
Phone (540) 664-7674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-030 | AL | MD | Behavioral Analyst |
| 0133002399 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1013665298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 PEACE AND PLENTY LN",
"city": "STEPHENS CITY",
"state": "VA",
"postal_code": "226555834",
"telephone_number": "540-664-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 TITAN DR",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301197",
"telephone_number": "256-275-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATION",
"first_name": "AUTUMN",
"middle_name": "ROSE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002399",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "2022-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.