Organization Active NPI

Autism Advance LLC

  • Behavior Analyst
  • Spring, TX
National Provider Identifier
1013784107
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM ADVANCE LLC
Practice address
23223 Gosling Rd Apt 4207
Spring, TX 77389-5463
Phone
(617) 372-0829
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olga Sirbu, BCBANPI 1548987779
Title
Bcba
Phone
(617) 372-0829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

23223 Gosling Rd Apt 4207
Spring, TX 77389-5463

Mailing address

23223 Gosling Rd Apt 4207
Spring, TX 77389-5463
Phone (617) 372-0829

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1013784107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23223 GOSLING RD APT 4207",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895463",
            "telephone_number": "617-372-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23223 GOSLING RD APT 4207",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895463",
            "telephone_number": "617-372-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ADVANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SIRBU",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "617-372-0829",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.