Organization Active NPI

Autism Care Plus Inc

  • Behavior Analyst
  • Boulder, CO
National Provider Identifier
1487476602
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM CARE PLUS INC
Practice address
2840 Wilderness PL Unit Ab
Boulder, CO 80301-5414
Phone
(833) 666-2919
Fax
(833) 666-3114
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Maura Janssen
Title
Billing Agent
Phone
(765) 628-7400

Specialties & licenses 1

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

Addresses

Primary practice location

2840 Wilderness PL Unit Ab
Boulder, CO 80301-5414

Mailing address

2001 Echo PL
San Ramon, CA 94582-4832
Phone (833) 666-2919

National Provider Directory

National Provider Directory
Tax ID family
Autism Care Plus Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2840 Wilderness Pl
Unit Ab
Boulder, CO 80301
Phone (833) 666-2919

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1487476602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ECHO PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824832",
            "telephone_number": "833-666-2919",
            "fax_number": "833-666-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 WILDERNESS PL UNIT AB",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015414",
            "telephone_number": "833-666-2919",
            "fax_number": "833-666-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CARE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "765-628-7400"
    },
    "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 Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.