NPIMap

Organization Active NPI

Early Autism Project, Inc.

Doing business as Surpass Behavioral Health

  • Behavior Analyst
  • Savannah, GA
National Provider Identifier
1336358647
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EARLY AUTISM PROJECT, INC.
Doing business as
Surpass Behavioral Health
Practice address
460 Mall Blvd Ste a
Savannah, GA 31406-4891
Phone
(615) 696-6761
Fax
(615) 880-5782
NPI assigned
May 22, 2007
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Jessica Kirk
Title
Revenue Cycle Manager
Phone
(615) 880-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

460 Mall Blvd Ste a
Savannah, GA 31406-4891

Mailing address

PO Box 931142
Atlanta, GA 31193-1142
Phone (615) 696-6761

Other names 1

  • Surpass Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Early Autism Project Dba Surpass Behavioral Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5488 Chamblee Dunwoody Rd
Ste 7
Dunwoody, GA 30338
Phone (404) 480-3842

460 Mall Blvd
Ste A
Savannah, GA 31406
Phone (615) 696-6761

2630 Hardee Cv
#B
Sumter, SC 29150

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1336358647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931142",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931142",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MALL BLVD STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064891",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY AUTISM PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "615-880-5782"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surpass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.