Autism Diagnostic & Support Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11312866 Issued in FL

Legal business name

AUTISM DIAGNOSTIC & SUPPORT SERVICES, INC.

Practice address

280 County Road 4111
Call, TX 75933-4618

Phone

(409) 622-9796

Fax

(409) 420-0678

NPI assigned

Mar 6, 2013

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Wray, BCBA & DIAGNOSTICIANNPI 1174864789

Title

Director

Phone

(409) 622-9796

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Melanie Wray, BCBA & DIAGNOSTICIAN

  • Behavior Analyst
  • Call, TX
  • NPI 1174864789
  NPD (past) Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1386985992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COUNTY ROAD 4111",
            "address_2": "PO BOX 193",
            "city": "CALL",
            "state": "TX",
            "postal_code": "759334618",
            "telephone_number": "409-622-9796",
            "fax_number": "409-420-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COUNTY ROAD 4111",
            "city": "CALL",
            "state": "TX",
            "postal_code": "759334618",
            "telephone_number": "409-622-9796",
            "fax_number": "409-420-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM DIAGNOSTIC & SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-622-9796",
        "authorized_official_credential": "BCBA & DIAGNOSTICIAN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11312866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Davis, LCSW
• Melanie Wray, BCBA & DIAGNOSTICIAN

• Community/Behavioral Health Agency in Call, TX
• Providers in Call, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.