So Love Autistic Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SO LOVE AUTISTIC CENTER

Practice address

335 Bishop Hollow Rd
Newtown Square, PA 19073-3255

Phone

(610) 446-3680

Fax

(484) 652-2185

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Venus A David, M.ED., LBSNPI 1205455524

Title

Founder/Executive Director

Phone

(610) 446-3680

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

So Love Autistic Center2 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.

• So Love Autistic Center

  • Community/Behavioral Health Agency
  • Newtown Square, PA
  • NPI 1861758906
  NPD tax ID

Locations

Practitioners 1

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

• Venus A David, LBS

  • Behavior Analyst
  • Drexel Hill, PA
  • NPI 1205455524
  NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1083012447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733255",
            "telephone_number": "610-446-3680",
            "fax_number": "484-652-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733255",
            "telephone_number": "610-446-3680",
            "fax_number": "484-652-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO LOVE AUTISTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-446-3680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103048922-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Smith, LCSW
• Chelsea Victoria Smith, MS, BCBA
• Lauren Elizabeth Smith, RDN
• Mack Stevenson Smith, RBT
• Rebecca Ann Smith
• So Love Autistic Center
• Erin Marie Solana, OTR/L
• Inna Solovey, D.D.S
• Soul Centered Integrative Counseling
• Richard L. Spielvogel, MD

• Behavior Analyst in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.