NPIMap

Organization Active NPI

Autism Spectrum and Disability Services

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1063799443
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4678 Issued in CO
Legal business name
AUTISM SPECTRUM AND DISABILITY SERVICES
Practice address
7285 Bluestone Dr
Reno, NV 89511
Phone
(269) 762-2076
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Mr. Brian James Feeney, M.A. BCBANPI 1104066612
Title
Manager and Owner
Phone
(269) 762-2075

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 1-08-4678 CO Primary

Addresses

Primary practice location

7285 Bluestone Dr
Reno, NV 89511

Mailing address

7285 Bluestone Dr
Reno, NV 89511
Phone (269) 762-2076

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1063799443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7285 BLUESTONE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "269-762-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 BLUESTONE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "269-762-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECTRUM AND DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "FEENEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER AND OWNER",
        "authorized_official_telephone_number": "269-762-2075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-08-4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.