Autism Asperger Support Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AUTISM ASPERGER SUPPORT CENTER

Practice address

6656 W 81St St
Los Angeles, CA 90045-2827

Phone

(310) 567-0504

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Dian N Tackett, MA

Title

Owner/Clinical Director

Phone

(310) 567-0504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1790142933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6656 W 81ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452827",
            "telephone_number": "310-567-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6656 W 81ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452827",
            "telephone_number": "310-567-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ASPERGER SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "DIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-567-0504",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.