Autism Personal Coach

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

SP. 7093 Issued in OH

Legal business name

AUTISM PERSONAL COACH

Practice address

1258 Beach Ave
Lakewood, OH 44107-2117

Phone

(216) 215-6805

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Doug Blecher, PYSCHOLOGIST

Title

Founder

Phone

(216) 336-5889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1124488879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 BEACH AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072117",
            "telephone_number": "216-215-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 BEACH AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072117",
            "telephone_number": "216-215-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM PERSONAL COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "BLECHER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "216-336-5889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PYSCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "SP. 7093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur P. Dick Neurology, Inc.
• Associates in Dentistry LLC
• Adwoa Yeboah Atuobi, PHARMACIST
• Atwood Counseling LLC
• Ricki Audrick
• Hannah Mercedes Avalon, APRN
• Ashraf Nabeeh Awawdeh, PHARMD
• Leah Babaran
• Regina Babinec, P.T.
• James Badowski, PT

• All providers in Lakewood, OH
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.