Organization Active NPI

Autism, Inc.

  • Behavior Analyst
  • Bluffton, SC
National Provider Identifier
1225549462
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1062833 Issued in SC
Legal business name
AUTISM, INC.
Practice address
29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008
Phone
(843) 706-0831
Fax
(843) 706-0830
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Lorrie G. Spencer, BCBA PHD
Title
Owner/President
Phone
(843) 706-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1062833 SC Primary

Addresses

Primary practice location

29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008

Mailing address

29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008
Phone (843) 706-0831

Other identifiers 1

IdentifierTypeStateIssuer
GP7834MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Autism Inc2 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.

Locations

29 Plantation Park Dr
Ste 204
Bluffton, SC 29910
Phone (843) 706-0831

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1225549462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "843-706-0831",
            "fax_number": "843-706-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "843-706-0831",
            "fax_number": "843-706-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-706-0831",
        "authorized_official_credential": "BCBA PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1062833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7834",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.