NPIMap

Organization Active NPI

Autastic ABA Therapy

Doing business as Autastic Speech Therapy

  • Speech-Language Pathologist
  • Bowie, MD
National Provider Identifier
1245085166
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AUTASTIC ABA THERAPY
Doing business as
Autastic Speech Therapy
Practice address
6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712
Phone
(301) 755-4021
Fax
(800) 858-5250
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AUTASTIC ABA THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Tamara ParkerNPI 1164086120
Title
Administration
Phone
(301) 755-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712

Mailing address

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712
Phone (301) 755-4021

Other names 1

  • AUTASTIC SPEECH THERAPY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Autastic ABA Therapy4 organizations share this tax ID, including this one
Part of
Autastic ABA Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1245085166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD STE 309",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-4021",
            "fax_number": "800-858-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD STE 309",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-4021",
            "fax_number": "800-858-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTASTIC ABA THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUTASTIC ABA THERAPY",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "301-755-4021"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUTASTIC SPEECH THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.