NPIMap

Organization Active NPI

Autism Consulting Network

  • Behavior Analyst
  • Sanford, FL
National Provider Identifier
1053649830
Registry record updated Dec 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2521
Legal business name
AUTISM CONSULTING NETWORK
Practice address
203 E 10TH St
Sanford, FL 32771-2621
Phone
(850) 583-1911
NPI assigned
Dec 6, 2009
Last updated
Dec 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2009

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

Authorized official

Name
Chrystin Bullock, BCBANPI 1225204860
Title
Executive Director
Phone
(850) 583-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-05-2521 Primary

Addresses

Primary practice location

203 E 10TH St
Sanford, FL 32771-2621

Mailing address

203 E 10TH St
Sanford, FL 32771-2621

National Provider Directory

National Provider Directory
Tax ID family
Autism Consulting Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260057600000",
    "number": "1053649830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 10TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E 10TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712621",
            "telephone_number": "850-583-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CONSULTING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "CHRYSTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-583-1911",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-05-2521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; 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.