Quad Cities Autism Center Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

QUAD CITIES AUTISM CENTER INC.

Practice address

2430 6TH Ave
102
Moline, IL 61265-1539

Phone

(309) 269-5653

NPI assigned

Feb 17, 2009

Last updated

Feb 17, 2009By 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

Michelle L. Smyth

Title

Director

Phone

(309) 269-5653

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Suzanne Ellen Johnson, BCABA

  • Behavior Analyst
  • Moline, IL
  • NPI 1851789507
  NPD (past)
• Skylar Karys, RBT

  • Behavior Technician
  • Moline, IL
  • NPI 1215797758
  NPD (past)
• Chloe Frances Rittenhouse

  • Behavior Technician
  • Moline, IL
  • NPI 1013760099
  NPD (past)
• Ethan Wiley, RBT

  • Behavior Technician
  • Moline, IL
  • NPI 1619737160
  NPD (past)
• Brittany Nicole Williams

  • Behavior Analyst
  • Moline, IL
  • NPI 1619490844
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1689813529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 6TH AVE",
            "address_2": "102",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651539",
            "telephone_number": "309-269-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 6TH AVE",
            "address_2": "102",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651539",
            "telephone_number": "309-269-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES AUTISM CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-269-5653"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivasan S Purighalla, MD
• Maytham Falah Qaisi
• QC Cpap Direct, LLC
• QC OBGYN Associates SC
• QC Wellness Center, LLC
• Quad Cities Eye Care, LLC
• Quad Cities Intervention Services
• Quad Cities Kidney Center, LTD.
• Quad Cities Mental Health
• Quad Cities Nephrology Associates, P.L.C., LLC

• Community/Behavioral Health Agency in Moline, IL
• Providers in Moline, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.