Active NPI
Autism and Behavioral Therapeutics
- Early Intervention Provider Agency
- Red Oak, TX
National Provider Identifier
1760169585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- AUTISM AND BEHAVIORAL THERAPEUTICS
- Practice address
- 115 Rose Garden Way
Red Oak, TX 75154-8864 - Phone
- (507) 351-3736
- NPI assigned
- Jul 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abhay Gupta
- Title
- Ceo
- Phone
- (507) 351-3736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
115 Rose Garden Way
Red Oak, TX 75154-8864
Mailing address
115 Rose Garden Way
Red Oak, TX 75154-8864
Phone (507) 351-3736
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1760169585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROSE GARDEN WAY",
"city": "RED OAK",
"state": "TX",
"postal_code": "751548864",
"telephone_number": "507-351-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ROSE GARDEN WAY",
"city": "RED OAK",
"state": "TX",
"postal_code": "751548864",
"telephone_number": "507-351-3736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM AND BEHAVIORAL THERAPEUTICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ABHAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-351-3736",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.