NPIMap

Organization Active NPI

Palmetto Autism Interventions, LLC

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1447515507
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PALMETTO AUTISM INTERVENTIONS, LLC
Practice address
720 Gracern Rd
450
Columbia, SC 29210-7655
Phone
(803) 929-1112
NPI assigned
Jul 5, 2012
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Teri J Todd
Title
Ceo
Phone
(803) 929-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

720 Gracern Rd
450
Columbia, SC 29210-7655

Mailing address

720 Gracern Rd
450
Columbia, SC 29210-7655
Phone (803) 929-1112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1447515507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GRACERN RD",
            "address_2": "450",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107655",
            "telephone_number": "803-929-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GRACERN RD",
            "address_2": "450",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107655",
            "telephone_number": "803-929-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO AUTISM INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-929-1112"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.