NPIMap

Organization Active NPI

Autism Therapeutic Services

Doing business as HealthPRO Pediatrics

  • Behavior Analyst
  • Spring Lake, NC
National Provider Identifier
1477217982
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM THERAPEUTIC SERVICES
Doing business as
HealthPRO Pediatrics
Practice address
102 Superior Dr
Spring Lake, NC 28390-3190
Phone
(910) 484-1711
NPI assigned
Oct 30, 2021
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Terra Rae ScottNPI 1720040348
Title
SVP Outpatient Pediatrics
Phone
(303) 437-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Behavior Analyst 103K00000X Primary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

102 Superior Dr
Spring Lake, NC 28390-3190

Mailing address

568 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 484-1711

Other names 1

  • HealthPRO Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Autism Therapeutic Services20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

102 Superior Dr
Spring Lake, NC 28390
Phone (910) 218-1602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1477217982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-484-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUPERIOR DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903190",
            "telephone_number": "910-484-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SVP OUTPATIENT PEDIATRICS",
        "authorized_official_telephone_number": "303-437-4364"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPRO Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.