NPIMap

Organization Active NPI

Autism Learning Center LLC

  • Early Intervention Provider Agency
  • Monroe, LA
National Provider Identifier
1790729069
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AUTISM LEARNING CENTER LLC
Practice address
810 N. 29TH St
Monroe, LA 71201
Phone
(318) 323-1223
Fax
(318) 323-1224
NPI assigned
Jun 16, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Mrs. Janice Moss
Title
Insurance Administrator
Phone
(318) 323-1223

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-08-4659 LA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1059396 LA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5508 LA
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

810 N. 29TH St
Monroe, LA 71201

Mailing address

810 N. 29TH St.
Monroe, LA 71201
Phone (318) 323-1223

Other names 1

  • Autism Learning Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Autism Learning Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

810 N 29th St
Monroe, LA 71201
Phone (318) 323-1223

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1790729069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N. 29TH ST.",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-323-1223",
            "fax_number": "318-323-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N. 29TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-323-1223",
            "fax_number": "318-323-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "318-323-1223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-08-4659",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "1059396",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5508",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Learning Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.