Organization Active NPI

Empower Autism LLC

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1578318838
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EMPOWER AUTISM LLC
Practice address
3320 N 125TH St
Omaha, NE 68164-4285
Phone
(402) 679-5716
NPI assigned
Apr 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Matthew Craig Dennis, BCBANPI 1487822268
Title
Owner
Phone
(402) 679-5716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3320 N 125TH St
Omaha, NE 68164-4285

Mailing address

3320 N 125TH St
Omaha, NE 68164-4285
Phone (402) 679-5716

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1578318838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N 125TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681644285",
            "telephone_number": "402-679-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 125TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681644285",
            "telephone_number": "402-679-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-679-5716",
        "authorized_official_credential": "BCBA"
    },
    "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 Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.