Organization Active NPI

Acumental LLC

Doing business as Autism Family Support Services

  • Behavior Analyst
  • Parkville, MD
National Provider Identifier
1598037160
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6427 Issued in MD
Legal business name
ACUMENTAL LLC
Doing business as
Autism Family Support Services
Practice address
25 Primrose CT
Parkville, MD 21234-3366
Phone
(410) 808-6561
Fax
(410) 869-2293
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Mr. Frederick Wayne Hoots, BCBANPI 1679972806
Title
Director of Behavioral Services
Phone
(410) 808-6561

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 Analyst 103K00000X 1-09-6427 MD Primary

Addresses

Primary practice location

25 Primrose CT
Parkville, MD 21234-3366

Mailing address

25 Primrose CT
Parkville, MD 21234-3366
Phone (410) 808-6561

Other names 1

  • Autism Family Support Services Doing business as

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1598037160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PRIMROSE CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343366",
            "telephone_number": "410-808-6561",
            "fax_number": "410-869-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PRIMROSE CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343366",
            "telephone_number": "410-808-6561",
            "fax_number": "410-869-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUMENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "HOOTS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL SERVICES",
        "authorized_official_telephone_number": "410-808-6561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1-09-6427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Family Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.