The Autism Behavior Connection LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE AUTISM BEHAVIOR CONNECTION LLC

Practice address

110 Stephanee LN
Ridgeway, SC 29130-9408

Phone

(803) 546-6922

NPI assigned

Sep 23, 2019

Last updated

Sep 24, 2019By 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

Mia Alana Raines, BCBANPI 1285180455

Title

Owner/Clinical Director

Phone

(803) 546-6922

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mia Alana Raines, MS, BCBA

  • Behavior Analyst
  • Columbia, SC
  • NPI 1285180455
  NPD Authorized official
• La'Toya Felicia Brunson

  • Behavior Analyst
  • Ridgeway, SC
  • NPI 1366992075
  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1295386159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STEPHANEE LN",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291309408",
            "telephone_number": "803-546-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STEPHANEE LN",
            "city": "RIDGEWAY",
            "state": "SC",
            "postal_code": "291309408",
            "telephone_number": "803-546-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUTISM BEHAVIOR CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "ALANA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-546-6922",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-17-28107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pruitthealth-Ridgeway LLC (PruittHealth - Ridgeway)
• Jandrette Atayae Rhoe, MD
• Ridgeway Manor Healthcare Center LLC
• Kimberly D Smith, DDS
• Bonita Street, PTA
• The Lakehouse, LLC
• Caroline Turknett
• Tina Marie Turnipseed
• United Rehab Inc (United Rehab of Tanglewood)

• Behavior Analyst in Ridgeway, SC
• Providers in Ridgeway, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.