NPIMap

Organization Active NPI

Chuchu

Doing business as Promise Autism Center

  • Behavior Analyst
  • Irving, TX
National Provider Identifier
1154192169
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CHUCHU
Doing business as
Promise Autism Center
Practice address
1636 W Irving Blvd Ste 100
Irving, TX 75061-7255
Phone
(469) 565-2454
NPI assigned
Jan 10, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Wonji Chu
Title
Owner
Phone
(469) 565-2454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1636 W Irving Blvd Ste 100
Irving, TX 75061-7255

Mailing address

1636 W Irving Blvd Ste 100
Irving, TX 75061-7255

Other names 1

  • Promise Autism Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1154192169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 W IRVING BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 W IRVING BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617255",
            "telephone_number": "469-565-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCHU",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "WONJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-565-2454"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promise Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.