NPIMap

Organization Active NPI

Autism and Behavior Solutions, LLC

  • Community/Behavioral Health Agency
  • North Pole, AK
National Provider Identifier
1255704573
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BEVB10 Issued in AK
Legal business name
AUTISM AND BEHAVIOR SOLUTIONS, LLC
Practice address
1076 Badger Rd
North Pole, AK 99705-5047
Phone
(702) 279-8679
Fax
(907) 385-0633
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Ms. Jude N/a Jenkins-Schrack, BCBANPI 1093102956
Title
Owner
Phone
(702) 279-8679

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
Community/Behavioral Health Agency 251S00000X BEVB10 AK Primary

Addresses

Primary practice location

1076 Badger Rd
North Pole, AK 99705-5047

Mailing address

1076 Badger Rd
North Pole, AK 99705-5047
Phone (702) 279-8679

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": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1255704573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 BADGER RD",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055047",
            "telephone_number": "702-279-8679",
            "fax_number": "907-385-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 BADGER RD",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055047",
            "telephone_number": "702-279-8679",
            "fax_number": "907-385-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM AND BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS-SCHRACK",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-279-8679",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "BEVB10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.