NPIMap

Organization Active NPI

Autism Specialty Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Miami, FL
National Provider Identifier
1154060689
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AUTISM SPECIALTY GROUP LLC
Practice address
144 NW 37TH St
Miami, FL 33127-3111
Phone
(305) 767-1924
Fax
(305) 673-5917
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Raquel RonacherNPI 1922453554
Title
Cfo
Phone
(786) 553-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

144 NW 37TH St
Miami, FL 33127-3111

Mailing address

PO Box 12618
Miami, FL 33101-2618
Phone (305) 767-1924

Other identifiers 1

IdentifierTypeStateIssuer
016704400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Autism Specialty Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1154060689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12618",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331012618",
            "telephone_number": "305-767-1924",
            "fax_number": "305-673-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273111",
            "telephone_number": "305-767-1924",
            "fax_number": "305-673-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "RONACHER",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-553-6663"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016704400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.