NPIMap

Organization Active NPI

Autism Intervention Specialists

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1194093997
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM INTERVENTION SPECIALISTS
Practice address
330 Grove St
Worcester, MA 01605-3909
Phone
(508) 232-7555
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Nassim Aoude, BCBA
Title
Ceo
Phone
(508) 232-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

330 Grove St
Worcester, MA 01605-3909

Mailing address

330 Grove St
Worcester, MA 01605-3909

National Provider Directory

National Provider Directory
Tax ID family
Autism Intervention Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

330 Grove St
Worcester, MA 01605
Phone (508) 232-7555

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1194093997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053909",
            "telephone_number": "508-232-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM INTERVENTION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "AOUDE",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-232-7555",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.