Organization Active NPI

Key Autism Services TX, LLC

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1104471697
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEY AUTISM SERVICES TX, LLC
Practice address
5050 Quorum Dr Ste 700
Dallas, TX 75254-1410
Phone
(857) 829-4040
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mark Harper
Title
Dir of Operations
Phone
(857) 829-4040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5050 Quorum Dr Ste 700
Dallas, TX 75254-1410

Mailing address

1385 Hwy 35 # 284
Middletown, NJ 07748-2012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1104471697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 HWY 35 # 284",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541410",
            "telephone_number": "857-829-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY AUTISM SERVICES TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "857-829-4040"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.