Mainstream Autism Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAINSTREAM AUTISM SERVICES

Practice address

103 S High Ridge Dr
Goodlettsville, TN 37072-7085

Phone

(615) 939-8049

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Banua

Title

Owner/Ceo

Phone

(615) 939-8049

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1437800331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S HIGH RIDGE DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370727085",
            "telephone_number": "615-939-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S HIGH RIDGE DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370727085",
            "telephone_number": "615-939-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "BANUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "615-939-8049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mainstreamautismservices@gmail.com",
            "affiliation": "N",
            "address_1": "103 S High Ridge Dr",
            "city": "Goodlettsville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370727085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Analyst in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.