Organization Active NPI

Autism Behavioral Consulting Services, LLC

  • Behavior Analyst
  • Gainesville, FL
National Provider Identifier
1548630080
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16005 Issued in FL
Legal business name
AUTISM BEHAVIORAL CONSULTING SERVICES, LLC
Practice address
6811 SW 80TH Dr
Gainesville, FL 32608-7562
Phone
(561) 350-0777
NPI assigned
Sep 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Authorized official

Name
Ms. Loren Rose
Title
Owner
Phone
(561) 350-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-14-16005 FL Primary

Addresses

Primary practice location

6811 SW 80TH Dr
Gainesville, FL 32608-7562

Mailing address

6811 SW 80TH Dr
Gainesville, FL 32608-7562
Phone (561) 350-0777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1548630080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SW 80TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087562",
            "telephone_number": "561-350-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SW 80TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087562",
            "telephone_number": "561-350-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIORAL CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-350-0777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-16005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.