Autism Coaching, Consulting, and Training, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AUTISM COACHING, CONSULTING, AND TRAINING, LLC

Doing business as

Autism Coaching, Consulting, and Training, LLC

Practice address

676 Lovell Ave NW
Bainbridge Island, WA 98110

Phone

(206) 930-7116

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shane KH Miramontez, PHD, BCBA

Title

Owner, Consultant

Phone

(206) 930-7116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AUTISM COACHING, CONSULTING, AND TRAINING, LLC Doing business as

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609305978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 LOVELL AVE NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102714",
            "telephone_number": "206-930-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 LOVELL AVE NW",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-930-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM COACHING, CONSULTING, AND TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIRAMONTEZ",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "KH",
        "authorized_official_title_or_position": "OWNER, CONSULTANT",
        "authorized_official_telephone_number": "206-930-7116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "604-132-315",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUTISM COACHING, CONSULTING, AND TRAINING, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AUTISM COACHING, CONSULTING, AND TRAINING, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Marie Atchison, PHARMACY TECHNICIAN
• Jessica Lynn Aubin, CCC-SLP
• Amy Augustine Grappone, LSWAIC
• Justin D Ausmeier, PHARMACIST
• Brenda Austin, CCC-SLP
• Sophia Hume Avent, MA
• Kristine Atwood Avery, RN, BSN, LCCE, FACCE
• Greg Awalt
• Linda Anne Ayriss, LMFT
• Melannie Leigh Babboni, LMP

• Early Intervention Provider Agency in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Early Intervention Provider Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.