Autism180 LLC

Organization Active NPI Behavior Analyst · Charlotte, NC

NPI 1083451280 · NPPES record last updated Jan 6, 2026

Key facts

NPI
1083451280
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
AUTISM180 LLC
Practice address
5960 Fairview Rd
Ste 300
Charlotte, NC 28210-0202
Phone
(704) 441-8715
Fax
(704) 253-8070
NPI assigned
Jul 15, 2024
Organization subpart
No

Authorized official

Name
Rezvan Karounib Rizi
Title
Ceo
Phone
(704) 441-8715

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

5960 Fairview Rd
Ste 300
Charlotte, NC 28210-0202

Mailing address

5960 Fairview Rd
Ste 300
Charlotte, NC 28210-0202
Phone (704) 441-8715

Other providers in Charlotte, NC

All providers in Charlotte, NC · Behavior Analyst in North Carolina

Sources for this page

Verify at the official NPI Registry.