Ausome Kidz Therapeutic Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

1-14-17417

Legal business name

AUSOME KIDZ THERAPEUTIC SERVICES

Practice address

1001 N Roan St
Johnson City, TN 37601-4669

Phone

(423) 676-6317

Fax

(866) 468-5489

NPI assigned

Jul 13, 2015

Last updated

Jul 16, 2015By 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

Desirea Satterwhite, BCBA

Title

Owner

Phone

(423) 676-6317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1437533049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014669",
            "telephone_number": "423-676-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014669",
            "telephone_number": "423-676-6317",
            "fax_number": "866-468-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSOME KIDZ THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "SATTERWHITE",
        "authorized_official_first_name": "DESIREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-676-6317",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": "1-14-17417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Developmental Disabilities Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.