Organization Active NPI

Anderson Autism Services, Inc

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1508589581
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ANDERSON AUTISM SERVICES, INC
Practice address
3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353
Phone
(470) 682-3536
Fax
(470) 682-3646
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Tiffany Siobhan Anderson, PSYD, BCBA
Title
Ceo
Phone
(504) 427-8737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353

Mailing address

225 Franklin Rd Unit 3214
Atlanta, GA 30342-2746
Phone (504) 427-8737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1508589581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 3214",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422746",
            "telephone_number": "504-427-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261353",
            "telephone_number": "470-682-3536",
            "fax_number": "470-682-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON AUTISM SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SIOBHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-427-8737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.