Ausome Foundation

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3716

Legal business name

AUSOME FOUNDATION

Practice address

403 Kays Dr
Normal, IL 61761-1958

Phone

(309) 662-5050

Fax

(630) 303-9704

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Kim Williamson, BCBA

Title

President/Program Director

Phone

(309) 662-5050

Specialties & licenses 1

Addresses

Other names 1

• Ausome Therapy Services Doing business as

Locations

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1093200628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KAYS DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611958",
            "telephone_number": "309-662-5050",
            "fax_number": "630-303-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KAYS DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611958",
            "telephone_number": "309-662-5050",
            "fax_number": "630-303-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSOME FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "309-662-5050",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-07-3716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ausome Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Syeda M Asad, O.D.
• Winifred Devoe Ashford, MSW, LCSW, CADC
• Aspire Speech, Language and Listening Therapy, PLLC
• Mary Aubry, DPT
• Verna L Auge, CRNA
• Xiao-Tian Austin, MD
• Kacey Ayres, LAT, ATC, CES
• Jara Bachtold
• Back to Health of B/N, Inc
• Juan Fabien Baez

• All providers in Normal, IL
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.