Organization Active NPI

Connecting Pieces Autism Center

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1194586776
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CONNECTING PIECES AUTISM CENTER
Doing business as
n/a
Practice address
2420 N Crystal Lake Dr Ste 104
Lakeland, FL 33801-6205
Phone
(863) 324-1998
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Keithell Williams
Title
Owner
Phone
(863) 324-1998

Specialties & licenses 1

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

Addresses

Primary practice location

2420 N Crystal Lake Dr Ste 104
Lakeland, FL 33801-6205

Mailing address

1919 Deep Creek Dr
Lakeland, FL 33810-0655
Phone (863) 324-1998

Other names 1

  • n/a 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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1194586776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 DEEP CREEK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338100655",
            "telephone_number": "863-324-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N CRYSTAL LAKE DR STE 104",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016205",
            "telephone_number": "863-324-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING PIECES AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEITHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-324-1998"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.