Active NPI
Autism, Inc.
- Behavior Analyst
- Bluffton, SC
National Provider Identifier
1225549462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1062833
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7834 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Autism Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Manager/Care Coordinator
- Bluffton, SC
- NPI 1760644074
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.