Autism Spectrum Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7863

Legal business name

AUTISM SPECTRUM THERAPY LLC

Practice address

4324 Huddlestone Dr
Wesley Chapel, FL 33545-5234

Phone

(757) 469-3773

Fax

(757) 257-9523

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Zooberg, BCBA

Title

President

Phone

(757) 469-3773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1174043251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 LAURIE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 HUDDLESTONE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335455234",
            "telephone_number": "757-469-3773",
            "fax_number": "757-257-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECTRUM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "ZOOBERG",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-469-3773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Adon Atanes
• Ataraxia Health & Life Alternatives, LLC (Liberty)
• Sizzly M Auer, LM, CPM, CD, CCBE
• Brian J Augustine, DC, DACNB
• Melissa Auman, ARNP
• Sandra Tatiana Aviles Cervera, LCSW-C
• Avington Care, Inc.
• Yusra Awad, APRN
• Awesome Minds Psychiatric LLC
• Wayden Ay, PA-C

• Behavior Analyst in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.