Endless Abilities Autism Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENDLESS ABILITIES AUTISM SERVICES, LLC

Practice address

490 Stonebriar Ave
Raeford, NC 28376-5066

Phone

(787) 642-3004

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Casey Ann Gonzalez, MSNPI 1912689209

Title

Lead Behavior Analyst

Phone

(787) 642-3004

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Gonzalez, MS

  • Community/Behavioral Health Agency
  • Raeford, NC
  • NPI 1912689209
  NPD Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1659156529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 STONEBRIAR AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765066",
            "telephone_number": "787-642-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 STONEBRIAR AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765066",
            "telephone_number": "787-642-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS ABILITIES AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LEAD BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "787-642-3004",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.