Autism Assistance & Therapy Center, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5121 Issued in MN

Legal business name

AUTISM ASSISTANCE & THERAPY CENTER, INC.

Practice address

370 Liberty Heights Dr
Chaska, MN 55318-4607

Phone

(952) 448-6161

NPI assigned

Oct 15, 2011

Organization subpart

No

Name

Jordan Laube

Title

Executive Director

Phone

(952) 448-6161

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2011.

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1043595564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LIBERTY HEIGHTS DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LIBERTY HEIGHTS DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184607",
            "telephone_number": "952-448-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ASSISTANCE & THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "LAUBE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-448-6161"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.