Autism Living Experience of California LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC

Doing business as

AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC

Practice address

1570 Cove CT
San Marcos, CA 92069-3528

Phone

(443) 838-9065

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Todd Stuckey

Title

Cfo

Phone

(443) 838-9065

Specialties & licenses 2

Addresses

Other names 1

• AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1730843582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ALEXANDER BELL DR STE 253",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462122",
            "telephone_number": "443-838-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 COVE CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693528",
            "telephone_number": "443-838-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-838-9065"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1570 Cove Ct",
            "city": "San Marcos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AUTISM LIVING EXPERIENCE OF CALIFORNIA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesley Ashford, OTR/L
• Associated Speech Pathologists
• Michelle Amber Atkins, LCSW
• Janice L Atkinson, LVN
• Aum Caregivers LLC
• Terri Anne Averill Watson, D.C.
• Andy Avila
• David Avila, MD, MPH
• Quetzalli Avilez
• Yaquelin Avilez

• Behavior Analyst in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.