Palmetto Autism Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PALMETTO AUTISM SERVICES

Practice address

925 Roxburgh Ave
Rock Hill, SC 29732-5505

Phone

(803) 487-8508

NPI assigned

Jan 19, 2021

Organization subpart

No

Name

Laura Wallace, BCBANPI 1932721701

Title

Clinical Director/Bcba

Phone

(803) 487-8508

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

• Laura Wallace, BCBA

  • Behavior Analyst
  • Rock Hill, SC
  • NPI 1932721701
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1457941908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ROXBURGH AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297325505",
            "telephone_number": "803-487-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 ROXBURGH AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297325505",
            "telephone_number": "803-487-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/BCBA",
        "authorized_official_telephone_number": "803-487-8508",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wallace@palmettoautismservices.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "925 Roxburgh Ave",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297325505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Yvonne Pabon
• Marta Pacheco
• Deanna Padilla
• Gina R Padula, M.D.
• Monica Pagan
• Palmetto Cardiology of York County, LLC.
• Palmetto Counseling & Consulting Services, LLC
• Palmetto Counseling & Consulting Services, LLC
• Palmetto Dental PA
• Palmetto Eyecare Associates P a

• All providers in Rock Hill, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.