Autism Therapeutic Services
Organization Active NPI Behavior Analyst · Killeen, TX
NPI 1821754680 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1821754680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- AUTISM THERAPEUTIC SERVICES
- Practice address
- 402 N 8TH St
Killeen, TX 76541-5215 - Phone
- (910) 484-1711
- NPI assigned
- Nov 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Terra Rae Scott
- Title
- SVP Outpatient Pediatrics
- Phone
- (303) 437-4364
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Autism Therapeutic Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Assistant Behavior Analyst |
106E00000X | |||
| Behavior Technician |
106S00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
402 N 8TH St
Killeen, TX 76541-5215
Mailing address
568 Sandhurst Dr
Fayetteville, NC 28304-4426
Other names
- HealthPRO Pediatrics
NPI Registry JSON
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1821754680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N 8TH ST",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765415215",
"telephone_number": "910-484-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-16",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "TERRA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "SVP OUTPATIENT PEDIATRICS",
"authorized_official_telephone_number": "303-437-4364"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthPRO Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.