NPIMap

Organization Active NPI

Atlantic Autism Services, Inc.

  • Behavior Analyst
  • Elizabeth City, NC
National Provider Identifier
1821552878
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ATLANTIC AUTISM SERVICES, INC.
Practice address
1431B Weeksville Rd
Elizabeth City, NC 27909-8431
Phone
(252) 677-5100
Fax
(252) 677-5110
NPI assigned
Jan 24, 2019
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Afton MarkunNPI 1467065193
Title
Administrative Assistant
Phone
(252) 677-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1431B Weeksville Rd
Elizabeth City, NC 27909-8431

Mailing address

1431B Weeksville Rd
Elizabeth City, NC 27909-8431
Phone (252) 677-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1821552878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431B WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098431",
            "telephone_number": "252-677-5100",
            "fax_number": "252-677-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431B WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098431",
            "telephone_number": "252-677-5100",
            "fax_number": "252-677-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AUTISM SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MARKUN",
        "authorized_official_first_name": "AFTON",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "252-677-7060"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.