NPIMap

Organization Active NPI

Autism Spectrum Mandate Services

  • Behavior Analyst
  • Mount Laurel, NJ
National Provider Identifier
1336409473
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084410 Issued in FL
Legal business name
AUTISM SPECTRUM MANDATE SERVICES
Practice address
16 Naples LN
Mount Laurel, NJ 08054-9645
Phone
(609) 953-5793
NPI assigned
May 23, 2012
Organization subpart
Yes
Parent organization
SPECIAL EDUCATION CONSULTANT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Ms. Rebecca Khettry-Clay, M.A.,B.C.B.A.NPI 1972830735
Title
Founder
Phone
(609) 953-5793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1084410 FL Primary

Addresses

Primary practice location

16 Naples LN
Mount Laurel, NJ 08054-9645

Mailing address

16 Naples LN
Mount Laurel, NJ 08054-9645
Phone (609) 953-5793

Other practice location 1

4 Mill Run Ct
Medford, NJ 08055-2436
Phone (609) 953-5793

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1336409473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NAPLES LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549645",
            "telephone_number": "609-953-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NAPLES LN",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549645",
            "telephone_number": "609-953-5793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Mill Run Ct",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552436",
            "country_code": "US",
            "telephone_number": "609-953-5793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM SPECTRUM MANDATE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL EDUCATION CONSULTANT, LLC",
        "enumeration_date": "2012-05-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "KHETTRY-CLAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "609-953-5793",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.,B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1084410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.