NPIMap

Organization Active NPI

Autism Behavior Consulting Group, Inc

  • Developmentally Disabled Services Day Training Agency
  • Haleiwa, HI
National Provider Identifier
1639401375
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1041581 Issued in HI
Legal business name
AUTISM BEHAVIOR CONSULTING GROUP, INC
Practice address
66-434 Kamehameha Highway
Haleiwa, HI 96712
Phone
(808) 277-7736
Fax
(808) 748-0202
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Amy Wiech, BCBA
Title
Clinical Director
Phone
(808) 277-7736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1041581 HI Primary
Community/Behavioral Health Agency 251S00000X 1041581 HI

Addresses

Primary practice location

66-434 Kamehameha Highway
Haleiwa, HI 96712

Mailing address

PO Box 1162
Waialua, HI 96791-1162
Phone (808) 637-7736

Other identifiers 1

IdentifierTypeStateIssuer
1245426865OtherTRICARE

National Provider Directory

National Provider Directory
Tax ID family
Autism Behavior Consulting Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

66-434 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 277-7736

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": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1639401375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967911162",
            "telephone_number": "808-637-7736",
            "fax_number": "808-748-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-434 KAMEHAMEHA HIGHWAY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "96712",
            "telephone_number": "808-277-7736",
            "fax_number": "808-748-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR CONSULTING GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "WIECH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "808-277-7736",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "HI",
            "license": "1041581",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "1041581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1245426865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.