NPIMap

Organization Active NPI

Magnolia Autism Services, LLC

  • Behavior Analyst
  • Lacombe, LA
National Provider Identifier
1235849753
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAGNOLIA AUTISM SERVICES, LLC
Practice address
30276 Sherwood Dr
Lacombe, LA 70445-3020
Phone
(620) 672-2228
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Eleanor M Anthony, BCBA/LBANPI 1841606399
Title
Owner
Phone
(620) 672-2228

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: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

30276 Sherwood Dr
Lacombe, LA 70445-3020

Mailing address

30276 Sherwood Dr
Lacombe, LA 70445-3020
Phone (620) 672-2228

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1235849753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30276 SHERWOOD DR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453020",
            "telephone_number": "620-672-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30276 SHERWOOD DR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453020",
            "telephone_number": "620-672-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-672-2228",
        "authorized_official_credential": "BCBA/LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.