Organization Active NPI

Pinnacle Autism Services, LLC

  • Behavior Analyst
  • Newark, DE
National Provider Identifier
1073093373
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PINNACLE AUTISM SERVICES, LLC
Practice address
908 Janice Dr
Newark, DE 19713-4040
Phone
(302) 740-5726
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Tabitha Vettori, BCBANPI 1659887826
Title
Founder & Ceo/Clinical Director
Phone
(302) 740-5726

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

908 Janice Dr
Newark, DE 19713-4040

Mailing address

28 Edgebrooke Way
Newark, DE 19702-1642

National Provider Directory

National Provider Directory

Locations

908 Janice Dr
Newark, DE 19713
Phone (302) 740-5726

Practitioners & affiliated clinicians

Practitioners 1

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1073093373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 EDGEBROOKE WAY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 JANICE DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134040",
            "telephone_number": "302-740-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "VETTORI",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "FOUNDER & CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "302-740-5726",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.