Organization Active NPI

Atlantic Behavior Services, Inc

  • Behavior Analyst
  • Rockport, ME
National Provider Identifier
1174908495
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ATLANTIC BEHAVIOR SERVICES, INC
Practice address
112 Union Street
Rockport, ME 04856
Phone
(207) 701-1589
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Jed A Schwalm, BCBA
Title
Owner/Operator
Phone
(207) 701-1589

Specialties & licenses 1

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

Addresses

Primary practice location

112 Union Street
Rockport, ME 04856

Mailing address

5 Cross St
Camden, ME 04843-1604
Phone (207) 701-1589

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Behavior Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1174908495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CROSS ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431604",
            "telephone_number": "207-701-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 UNION STREET",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-701-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BEHAVIOR SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SCHWALM",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-701-1589",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.