Organization Active NPI

Blackwell & Roscoe Autism Spectrum Intervention Partners, Inc.

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1215261045
Registry record updated Sep 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLACKWELL & ROSCOE AUTISM SPECTRUM INTERVENTION PARTNERS, INC.
Practice address
112 Holly Dr
Saint Louis, MO 63119-4639
Phone
(314) 749-7768
Fax
(800) 560-2140
NPI assigned
Sep 26, 2009
Last updated
Sep 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2009

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

Authorized official

Name
Ms. Rebecca Blackwell, M.A.NPI 1689921504
Title
Executive Director
Phone
(800) 531-4191

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

112 Holly Dr
Saint Louis, MO 63119-4639

Mailing address

112 Holly Dr
Saint Louis, MO 63119-4639
Phone (314) 749-7768

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253923200000",
    "number": "1215261045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HOLLY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194639",
            "telephone_number": "314-749-7768",
            "fax_number": "800-560-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOLLY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194639",
            "telephone_number": "314-749-7768",
            "fax_number": "800-560-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL & ROSCOE AUTISM SPECTRUM INTERVENTION PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-26",
        "last_updated": "2009-09-26",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-531-4191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; 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.