Autism Spectrum Interventions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISM SPECTRUM INTERVENTIONS

Practice address

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone

(714) 879-4274

NPI assigned

Nov 14, 2016

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joo Hee Julie Nam, BCBANPI 1841732484

Title

Division Clinical Supervisor

Phone

(562) 405-6399

Specialties & licenses 1

Addresses

Tax ID family

Autism Spectrum Interventions2 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.

• Autism Spectrum Interventions

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1619242088
  NPD tax ID

Locations

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.

• Joo Hee Nam

  • Behavior Analyst
  • Fullerton, CA
  • NPI 1841732484
  Authorized official Same address or phone

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1649712258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W COMMONWEALTH AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W COMMONWEALTH AVE STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321612",
            "telephone_number": "714-879-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECTRUM INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "JOO HEE",
        "authorized_official_middle_name": "JULIE",
        "authorized_official_title_or_position": "DIVISION CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "562-405-6399",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aum Pharmacy Corporation (Austin Drugs)
• Auro Pharmacies, Inc (Central Drugs)
• Victoria Renee Austin, MA, ED.S, APCC, NCSP
• Davonna Austinbrazil
• Autism Spectrum Interventions
• Autism Spectrum Interventions
• Autism Therapy Clinic
• Andrea Avalos Perez
• Cindy G Avalos, M.A., BCBA
• Diane Avalos

• Community/Behavioral Health Agency in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.