NPIMap

Organization Active NPI

Autism Intervention Specialists

  • Early Intervention Provider Agency
  • Worcester, MA
National Provider Identifier
1720363393
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AUTISM INTERVENTION SPECIALISTS
Practice address
330 Grove St
Worcester, MA 01605-3909
Phone
(508) 232-7555
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Nassim Aoude, M.S. BCBA PHD-ABD
Title
Ceo/Founder
Phone
(508) 232-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

330 Grove St
Worcester, MA 01605-3909

Mailing address

330 Grove St
Worcester, MA 01605-3909

National Provider Directory

National Provider Directory
Tax ID family
Autism Intervention Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1720363393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053909",
            "telephone_number": "508-232-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM INTERVENTION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "AOUDE",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "508-232-7555",
        "authorized_official_credential": "M.S. BCBA PHD-ABD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.