Autism Specialist LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0156470 Issued in VA

Legal business name

AUTISM SPECIALIST LLC

Practice address

4448 Labrador CT
Amissville, VA 20106-2218

Phone

(571) 277-9357

NPI assigned

Feb 6, 2016

Last updated

Feb 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Utterback, BCABA, LABA

Title

Founder

Phone

(571) 277-9357

Specialties & licenses 1

Addresses

Tax ID family

Autism Specialist2 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.

• Autism Specialist

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1346609989
  NPD tax ID

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.

• Erin Guiffre, LCSW, BCBA, LBA

  • Clinical Social Worker
  • Gainesville, VA
  • NPI 1043677974

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454716800000",
    "number": "1083072904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 LABRADOR CT",
            "city": "AMISSVILLE",
            "state": "VA",
            "postal_code": "201062218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 LABRADOR CT",
            "city": "AMISSVILLE",
            "state": "VA",
            "postal_code": "201062218",
            "telephone_number": "571-277-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A",
        "authorized_official_last_name": "UTTERBACK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "571-277-9357",
        "authorized_official_credential": "BCABA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0156470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amissville Volunteer Fire & Rescue Company, Inc
• Atlantic Telehealth, Inc.
• Stephen T Bresnock Jr., SLP
• Stephanie Juanita Bryce, HHA
• Hannah J Kilhefner
• Mpower Me, LLC
• Stephen Nagel, DPT, MS

• Behavior Analyst in Amissville, VA
• Providers in Amissville, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.