Organization Active NPI

Autism Assessment and Therapy Center, LLC

  • Community/Behavioral Health Agency
  • Saint George, UT
National Provider Identifier
1467997932
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7089681-3501 Issued in UT
Legal business name
AUTISM ASSESSMENT AND THERAPY CENTER, LLC
Practice address
378 E Nagano Dr
Saint George, UT 84790-4302
Phone
(435) 705-8664
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Kyle Don Bringhurst, LCSW
Title
Chief Executive Officer
Phone
(435) 705-8664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7089681-3501 UT Primary

Addresses

Primary practice location

378 E Nagano Dr
Saint George, UT 84790-4302

Mailing address

378 E Nagano Dr
Saint George, UT 84790-4302
Phone (435) 705-8664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1467997932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 E NAGANO DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904302",
            "telephone_number": "435-705-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 E NAGANO DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904302",
            "telephone_number": "435-705-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ASSESSMENT AND THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "BRINGHURST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-705-8664",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "7089681-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.