Autism Living Experience, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM LIVING EXPERIENCE, LLC

Practice address

8604 Cliff Cameron Dr Ste 180
Charlotte, NC 28269-8508

Phone

(888) 392-8642

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Todd Stuckey

Title

Chief Financial Officer

Phone

(888) 392-8642

Specialties & licenses 5

Addresses

Other names 2

• Autism Living Experience, LLC Doing business as
• Opal Autism Centers Doing business as

Electronic endpoints 1

Locations

Practitioners 26

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

• Kristin Smith

  • Behavior Technician
  • Pinehurst, NC
  • NPI 1891417416
  NPD
• Amanda Yvette Bess-Fishel, DC, RBT

  • Behavior Technician
  • Charlotte, NC
  • NPI 1376616748
  NPD (past)
• Kerby Dejesus, BCBA, M. ED

  • Behavior Analyst
  • Charlotte, NC
  • NPI 1902328461
  NPD (past)
• Hailey Lynn Gryske, MS, BCBA

  • Behavior Analyst
  • Raleigh, NC
  • NPI 1730646902
  NPD (past)
• Demychal Harris

  • Behavior Technician
  • Whispering Pines, NC
  • NPI 1679270805

  Behavior Analyst

  NPD (past)
• Ruth Hurst, PH.D.

  • Clinical Psychologist
  • Chapel Hill, NC
  • NPI 1942540778
  NPD (past)
• Michele Kennedy

  • Behavior Technician
  • Jacksonville, NC
  • NPI 1871442145
  NPD (past)
• Ashley Nicole Murphy

  • Behavior Technician
  • Whispering Pines, NC
  • NPI 1396457594
  NPD (past)
• Alyssa Megan Oppelt

  • Behavior Technician
  • Whispering Pines, NC
  • NPI 1861104051
  NPD (past)
• Brena Potts

  • Behavior Technician
  • Jacksonville, NC
  • NPI 1619826989
  NPD (past)
• Sydney Charisse Steger

  • Behavior Technician
  • Charlotte, NC
  • NPI 1790382588
  NPD (past)
• Laylonie Westbrook

  • Behavior Technician
  • Jacksonville, NC
  • NPI 1457207698
  NPD (past)

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1437800604",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "1990 MAIN ST STE 750",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342368000",
            "telephone_number": "888-392-8642",
            "fax_number": "888-783-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698508",
            "telephone_number": "888-392-8642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7504 E Independence Blvd Ste 103",
            "address_purpose": "LOCATION",
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            "postal_code": "282279407",
            "country_code": "US",
            "telephone_number": "888-392-8642",
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        },
        {
            "address_1": "1330 Ashleybrook Ln",
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        {
            "address_1": "700 S Woodruff Ave",
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        },
        {
            "address_1": "7 Oak Branch Dr Ste E",
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            "telephone_number": "888-392-8642",
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        {
            "address_1": "3235 E Overland Rd",
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            "city": "Meridian",
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            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
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        {
            "address_1": "128 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
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            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
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            "postal_code": "285463220",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Vandora Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Garner",
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            "country_code": "US",
            "telephone_number": "888-392-8642",
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        },
        {
            "address_1": "650 N 870 W Ste 101-104",
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            "city": "Logan",
            "state": "UT",
            "postal_code": "843216899",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Covil Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032683",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Archdale Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282174212",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 S Bridgeway Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Eagle",
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            "postal_code": "836166953",
            "country_code": "US",
            "telephone_number": "888-392-8642",
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            "address_type": "DOM"
        },
        {
            "address_1": "10 Parker Ln Ste 1",
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            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283747903",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "fax_number": "888-783-7611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Devers St Ste And102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034752",
            "country_code": "US",
            "telephone_number": "888-392-8642",
            "fax_number": "888-783-7611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4052 River Bank Way",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339806515",
            "country_code": "US",
            "telephone_number": "941-400-1044",
            "fax_number": "888-783-7611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTISM LIVING EXPERIENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "888-392-8642"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
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            "state": null,
            "license": null,
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        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
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        },
        {
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            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
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        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
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    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6700 Alexander Bell Dr Ste 253",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210462122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Autism Living Experience, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Opal Autism Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Glenn Austin, CSAC, CCS
• Tiffany Austin, LCMHC
• Twaela Austin
• Jeffrey Auten
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• Autism Services of Mecklenburg County, Inc.
• Autism Services of Mecklenburg County, Inc.
• Autism Services of Mecklenburg County, Inc.

• All providers in Charlotte, NC
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.