Charleston Autism Academy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1500618 Issued in SC

Legal business name

CHARLESTON AUTISM ACADEMY

Practice address

930 Pine Hollow Rd
Mount Pleasant, SC 29464

Phone

(843) 881-0330

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Laura Misenhelter

Title

Caa Board President

Phone

(843) 881-0330

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Charleston Autism Academy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charleston Autism Academy

  • Behavior Analyst
  • Wando, SC
  • NPI 1356664437
  NPD tax ID
• Charleston Autism Academy

  • Speech-Language Pathologist
  • Wando, SC
  • NPI 1780961706
  NPD tax ID

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1316331184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PINE HOLLOW RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PINE HOLLOW RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-881-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON AUTISM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "MISENHELTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CAA BOARD PRESIDENT",
        "authorized_official_telephone_number": "843-881-0330"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1500618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1356664437",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taylor Danielle Chard, DC
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• Charleston Brace Company, LLC
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• Charleston Chiropractic Center, LLC
• Charleston Clinical Counseling

• Behavior Analyst in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 19, 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.