Active NPI
TLC Autism Services, LLC
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1124562228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- TLC AUTISM SERVICES, LLC
- Practice address
- 36 S Semoran Blvd
Suite B
Orlando, FL 32807-3262 - Phone
- (407) 601-7631
- Fax
- (407) 286-7494
- NPI assigned
- Dec 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa M Rosario
- Title
- Owner/Director of Operations
- Phone
- (407) 601-7631
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | PY7320 | FL | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
36 S Semoran Blvd
Suite B
Orlando, FL 32807-3262
Mailing address
36 S Semoran Blvd
Suite B
Orlando, FL 32807-3262
Phone (407) 601-7631
National Provider Directory
National Provider DirectoryLocations
36 S Semoran Blvd
Ste B
Orlando, FL 32807
Phone (407) 601-7631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1124562228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 S SEMORAN BLVD",
"address_2": "SUITE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073262",
"telephone_number": "407-601-7631",
"fax_number": "407-286-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S SEMORAN BLVD",
"address_2": "SUITE B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073262",
"telephone_number": "407-601-7631",
"fax_number": "407-286-7494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC AUTISM SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-07",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "ROSARIO",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "407-601-7631"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7320",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.