Autism Therapeutic Services
Organization Active NPI Speech-Language Pathologist · Jacksonville, NC
NPI 1295499705 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1295499705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- AUTISM THERAPEUTIC SERVICES
- Practice address
- 3020 Henderson Dr # a
Jacksonville, NC 28546-5246 - Phone
- (910) 484-1711
- NPI assigned
- Oct 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Terra Rae Scott
- Title
- SVP Outpatient Pediatrics
- Phone
- (303) 437-4364
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Autism Therapeutic Services
Locations
3020 Henderson Dr
#A
Jacksonville, NC 28546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
3020 Henderson Dr # a
Jacksonville, NC 28546-5246
Mailing address
568 Sandhurst Dr
Fayetteville, NC 28304-4426
Other names
- HealthPRO Pediatrics
Other providers in Jacksonville, NC
- Mariah Atterberry
- Jacqueline Augsburger
- Christie Kennedy Augustine
- Michael Joseph Augustine
- Courtney Melton Auman
- Autism Therapeutic Services
- Michael Avery
- Avid Health at Home North Carolina
- Alicia Marie Aviles-Corey
- Avner Asset LLC
All providers in Jacksonville, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.