Organization Active NPI

Autism Movement Therapy, Inc.

Doing business as Autism Movement Therapy

  • Behavior Analyst
  • Van Nuys, CA
National Provider Identifier
1336408822
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM MOVEMENT THERAPY, INC.
Doing business as
Autism Movement Therapy
Practice address
7439 Orion Ave
Van Nuys, CA 91406-3319
Phone
(323) 240-0361
Fax
(866) 498-2702
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Joanne Lara
Title
Director
Phone
(323) 240-0361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

7439 Orion Ave
Van Nuys, CA 91406-3319

Mailing address

7439 Orion Ave
Van Nuys, CA 91406-3319
Phone (323) 240-0361

Other names 1

  • Autism Movement Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1336408822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 ORION AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063319",
            "telephone_number": "323-240-0361",
            "fax_number": "866-498-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 ORION AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063319",
            "telephone_number": "323-240-0361",
            "fax_number": "866-498-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM MOVEMENT THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-240-0361"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Movement Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.