Connections for Autism

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONNECTIONS FOR AUTISM

Practice address

897 Yorktowne Dr
Rockledge, FL 32955-8106

Phone

(615) 556-5477

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Myra Bennett, BCBANPI 1669038444

Title

Owner

Phone

(615) 556-5477

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Myra Jean Bennett, BCBA

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1669038444
  NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1508518861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 YORKTOWNE DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 YORKTOWNE DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558106",
            "telephone_number": "615-556-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-556-5477",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Rethink",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "897 Yorktowne Dr",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329558106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.