NPIMap

Organization Active NPI

Early Autism Services, LLC

  • Behavior Analyst
  • Windsor Mill, MD
National Provider Identifier
1225834286
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EARLY AUTISM SERVICES, LLC
Practice address
7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077
Phone
(312) 965-2997
Fax
(312) 929-0324
NPI assigned
Feb 20, 2025
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Benjamin WesselsNPI 1194957951
Title
Owner
Phone
(312) 965-2997

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

7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077

Mailing address

1721 Moon Lake Blvd Ste 140
Hoffman Estates, IL 60169-1070
Phone (312) 965-2997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1225834286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD STE 140",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691070",
            "telephone_number": "312-965-2997",
            "fax_number": "312-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 AMBASSADOR RD STE 150",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212443077",
            "telephone_number": "312-965-2997",
            "fax_number": "312-929-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WESSELS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-965-2997"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.