Autism Therapy Clinic

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM THERAPY CLINIC

Practice address

2271 W Malvern Ave Ste 428
Fullerton, CA 92833-2106

Phone

(206) 889-0075

NPI assigned

Apr 16, 2018

Last updated

Apr 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Jon Roberts, MA, LBA, BCBA

Title

Founder

Phone

(206) 889-0075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1265929368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE STE 428",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "206-889-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE STE 428",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "206-889-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-889-0075",
        "authorized_official_credential": "MA, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Renee Austin, MA, ED.S, APCC, NCSP
• Davonna Austinbrazil
• Autism Spectrum Interventions
• Autism Spectrum Interventions
• Autism Spectrum Interventions
• Andrea Avalos Perez
• Cindy G Avalos, M.A., BCBA
• Diane Avalos
• Sevak Avanesi, PHARM.D.
• Crystal Avelino

• Behavior Analyst in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.