NPIMap

Organization Active NPI

Autism Specialist

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1346609989
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUTISM SPECIALIST
Practice address
4818 Ertter Dr
Rockville, MD 20852-2202
Phone
(321) 704-9020
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Angela Vance
Title
Bcba
Phone
(321) 704-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4818 Ertter Dr
Rockville, MD 20852-2202

Mailing address

4818 Ertter Dr
Rockville, MD 20852-2202
Phone (321) 704-9020

National Provider Directory

National Provider Directory
Tax ID family
Autism Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1346609989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 ERTTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522202",
            "telephone_number": "321-704-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 ERTTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522202",
            "telephone_number": "321-704-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "321-704-9020"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.