NPIMap

Organization Active NPI

Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • Baltimore, MD
National Provider Identifier
1114409729
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CENTER FOR AUTISM AND RELATED DISORDERS LLC
Practice address
114 E 25TH St
Baltimore, MD 21218-5214
Phone
(855) 345-2273
NPI assigned
Aug 30, 2018
Organization subpart
Yes
Parent organization
CENTER FOR AUTISM AND RELATED DISORDERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Karen Osuna
Title
Lead Insurance Contractor
Phone
(818) 345-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

114 E 25TH St
Baltimore, MD 21218-5214

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other identifiers 1

IdentifierTypeStateIssuer
724002300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Center for Autism and Related Disorders26 organizations share this tax ID, including this one
Part of
Center for Autism and Related Disorders

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1114409729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185214",
            "telephone_number": "855-345-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AUTISM AND RELATED DISORDERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR AUTISM AND RELATED DISORDERS LLC",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "OSUNA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LEAD INSURANCE CONTRACTOR",
        "authorized_official_telephone_number": "818-345-2345"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724002300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.