Evolve Autism Services, LLC
Organization Active NPI Behavior Analyst · Long Beach, MS
NPI 1073293155 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1073293155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- EVOLVE AUTISM SERVICES, LLC
- Practice address
- 111 Warwick Dr
Long Beach, MS 39560-2638 - Phone
- (228) 260-6892
- Fax
- (228) 567-4894
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Ashlyn Fletcher, BCBA
- Title
- Bcba
- Phone
- (228) 260-6892
Practitioners 1
-
Ashlyn Victoria Rager, BCBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
111 Warwick Dr
Long Beach, MS 39560-2638
Mailing address
111 Warwick Dr
Long Beach, MS 39560-2638
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.