Optimized Autism Interventions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPTIMIZED AUTISM INTERVENTIONS, LLC

Practice address

97 Derek Dr
Tolland, CT 06084-2631

Phone

(860) 896-3885

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Audrey Gifford, BCBA

Title

Clinical Program Director/Owner

Phone

(860) 896-8335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1679934772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060840386",
            "telephone_number": "860-896-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DEREK DR",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842631",
            "telephone_number": "860-896-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZED AUTISM INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CLINICAL PROGRAM DIRECTOR/OWNER",
        "authorized_official_telephone_number": "860-896-8335",
        "authorized_official_credential": "BCBA"
    },
    "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 Tolland, CT
• Providers in Tolland, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.