Organization Active NPI

Autism Treatment Group, LLC

  • Behavior Analyst
  • Fishers, IN
National Provider Identifier
1699034066
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM TREATMENT GROUP, LLC
Practice address
11650 Lantern Rd Ste 230
Fishers, IN 46038-3099
Phone
(317) 576-8548
NPI assigned
May 4, 2012
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Mr. Brad K Watkins Sr.
Title
Executive Director
Phone
(317) 576-8548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11650 Lantern Rd Ste 230
Fishers, IN 46038-3099

Mailing address

11650 Lantern Rd Ste 230
Fishers, IN 46038-3099
Phone (317) 576-8548

National Provider Directory

National Provider Directory

Locations

11650 Lantern Rd
Ste 230
Fishers, IN 46038
Phone (317) 576-8548

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1699034066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 LANTERN RD STE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383099",
            "telephone_number": "317-576-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 LANTERN RD STE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383099",
            "telephone_number": "317-576-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM TREATMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-576-8548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.