NPIMap

Organization Active NPI

Atlas Supports

  • Behavior Analyst
  • Leesville, SC
National Provider Identifier
1275868556
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2205 Issued in SC
Legal business name
ATLAS SUPPORTS
Practice address
113 Saluda Shores Cir
Leesville, SC 29070-7235
Phone
(803) 582-9003
Fax
(803) 234-2927
NPI assigned
Oct 5, 2009
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Christian Atlas Martin, PHD.NPI 1689976854
Title
President
Phone
(803) 582-9003

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
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-05-2205 SC Primary

Addresses

Primary practice location

113 Saluda Shores Cir
Leesville, SC 29070-7235

Mailing address

113 Saluda Shores Cir
Leesville, SC 29070-7235
Phone (803) 582-9003

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": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1275868556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SALUDA SHORES CIR",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707235",
            "telephone_number": "803-582-9003",
            "fax_number": "803-234-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SALUDA SHORES CIR",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707235",
            "telephone_number": "803-582-9003",
            "fax_number": "803-234-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ATLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-582-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-05-2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.