Organization Active NPI

Accelerated Learning Clinic, Inc.

  • Behavior Analyst
  • Dublin, OH
National Provider Identifier
1144544933
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1052208 Issued in FL
Legal business name
ACCELERATED LEARNING CLINIC, INC.
Practice address
5158 Blazer Pkwy
Dublin, OH 43017-1339
Phone
(614) 336-8838
Fax
(614) 336-8839
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Gwen Dwiggins, PH.D, BCBA-D
Title
Executive Director
Phone
(614) 336-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1052208 FL Primary

Addresses

Primary practice location

5158 Blazer Pkwy
Dublin, OH 43017-1339

Mailing address

5158 Blazer Pkwy
Dublin, OH 43017-1339
Phone (614) 336-8838

National Provider Directory

National Provider Directory

Locations

5158 Blazer Pkwy
Dublin, OH 43017
Phone (614) 336-8838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1144544933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-336-8838",
            "fax_number": "614-336-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-336-8838",
            "fax_number": "614-336-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED LEARNING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "DWIGGINS",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-336-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1052208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.