Geneva Center for Autism LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GENEVA CENTER FOR AUTISM LLC

Practice address

8001 N Point Blvd Ste B
Winston Salem, NC 27106-3247

Phone

(336) 408-4396

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Rodney Lisenby

Title

Managing Member

Phone

(336) 408-4396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1265255319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N POINT BLVD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063247",
            "telephone_number": "336-408-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N POINT BLVD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063247",
            "telephone_number": "336-408-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA CENTER FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LISENBY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-408-4396"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.