NPIMap

Organization Active NPI

Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • Boulder, CO
National Provider Identifier
1174124689
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CENTER FOR AUTISM AND RELATED DISORDERS LLC
Practice address
5305 Spine Rd Ste a
Boulder, CO 80301-3331
Phone
(720) 643-2350
NPI assigned
Nov 3, 2020
Organization subpart
Yes
Parent organization
CENTER FOR AUTISM AND RELATED DISORDERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Nick Marks
Title
Contract Manager
Phone
(818) 345-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5305 Spine Rd Ste a
Boulder, CO 80301-3331

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

National Provider Directory

National Provider Directory
Tax ID family
Center for Autism and Related Disorders26 organizations share this tax ID, including this one
Part of
Center for Autism and Related Disorders

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1174124689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 SPINE RD STE A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013331",
            "telephone_number": "720-643-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AUTISM AND RELATED DISORDERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR AUTISM AND RELATED DISORDERS LLC",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "818-345-2345"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.