NPIMap

Organization Active NPI

Autism Behavior Treatment Center, LLC

  • Developmentally Disabled Services Day Training Agency
  • Draper, UT
National Provider Identifier
1811223803
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
15914 Issued in UT
Legal business name
AUTISM BEHAVIOR TREATMENT CENTER, LLC
Practice address
12222 S 1000 E
Suite 3
Draper, UT 84020-8278
Phone
(801) 572-5727
Fax
(801) 572-5758
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Mr. Joseph Timmins, L.C.S.W.
Title
Consulting Clinical Social Worker
Phone
(801) 572-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 15914 UT Primary

Addresses

Primary practice location

12222 S 1000 E
Suite 3
Draper, UT 84020-8278

Mailing address

12222 S 1000 E
Suite 3
Draper, UT 84020-8278
Phone (801) 572-5727

National Provider Directory

National Provider Directory
Tax ID family
Autism Behavior Treatment 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

12222 S 1000 E
Ste 3
Draper, UT 84020
Phone (801) 987-3592

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": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1811223803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 S 1000 E",
            "address_2": "SUITE 3",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208278",
            "telephone_number": "801-572-5727",
            "fax_number": "801-572-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 S 1000 E",
            "address_2": "SUITE 3",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208278",
            "telephone_number": "801-572-5727",
            "fax_number": "801-572-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "TIMMINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CONSULTING CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "801-572-5727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "UT",
            "license": "15914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.