Active NPI
Autism1On1
- Behavior Analyst
- Spencer, MA
National Provider Identifier
1487077210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- AUTISM1ON1
- Practice address
- 158 Main St
Spencer, MA 01562-2260 - Phone
- (508) 762-8393
- NPI assigned
- Jan 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keggah Ghishijoh
- Title
- Ceo
- Phone
- (508) 885-5044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
158 Main St
Spencer, MA 01562-2260
Mailing address
158 Main St
Spencer, MA 01562-2260
Phone (508) 762-8393
Other names 1
- AUTISM CONSULTANTS
National Provider Directory
National Provider DirectoryLocations
158 Main St
Spencer, MA 01562
Phone (617) 785-7402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391040000000",
"number": "1487077210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 MAIN ST",
"city": "SPENCER",
"state": "MA",
"postal_code": "015622260",
"telephone_number": "508-762-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 MAIN ST",
"city": "SPENCER",
"state": "MA",
"postal_code": "015622260",
"telephone_number": "508-762-8393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM1ON1",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A",
"authorized_official_last_name": "GHISHIJOH",
"authorized_official_first_name": "KEGGAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-885-5044"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AUTISM CONSULTANTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spencer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.