Organization Active NPI

Evergreen Autism Services LLC

  • Behavior Analyst
  • Springboro, OH
National Provider Identifier
1205646239
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERGREEN AUTISM SERVICES LLC
Practice address
80 Clearview Dr
Springboro, OH 45066-1051
Phone
(937) 723-0212
NPI assigned
Jan 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Tonya Jones, BCBA, COBANPI 1497353023
Title
Behavior Analyst
Phone
(937) 723-0212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

80 Clearview Dr
Springboro, OH 45066-1051

Mailing address

80 Clearview Dr
Springboro, OH 45066-1051
Phone (937) 723-0212

Other names 1

  • EverBright Autism Services LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1205646239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CLEARVIEW DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661051",
            "telephone_number": "937-723-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CLEARVIEW DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661051",
            "telephone_number": "937-723-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "937-723-0212",
        "authorized_official_credential": "BCBA, COBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EverBright Autism Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.