Atlas Supports

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

Organization subpart

No

Name

Dr. Christian Atlas Martin, PHD.

Title

President

Phone

(803) 582-9003

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Kelly, BCBA

  • Behavior Analyst
  • Leesville, SC
  • NPI 1376930198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2015.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP8953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B-L Family Practice P a
• William Rivers Bedenbaugh, DC
• BL Spine
• Tavish Brinton, LM, CPM
• Linda June Campbell IX, MD,ABIM

• All providers in Leesville, SC
• Behavior Analyst in South Carolina

• 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.