Organization Active NPI

Fast Track Autism Services LLC

  • Community/Behavioral Health Agency
  • Fishers, IN
National Provider Identifier
1831520378
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAST TRACK AUTISM SERVICES LLC
Practice address
11650 Olio Rd
Suite 1000-248
Fishers, IN 46037-7619
Phone
(317) 537-0487
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Ms. Misty Robin Turner-Wade, MA, BCBA
Title
Director
Phone
(317) 537-0487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11650 Olio Rd
Suite 1000-248
Fishers, IN 46037-7619

Mailing address

11650 Olio Rd
Suite 1000-248
Fishers, IN 46037-7619
Phone (317) 537-0487

National Provider Directory

National Provider Directory

Locations

11650 Olio Rd
Ste 1000248
Fishers, IN 46037
Phone (317) 537-0487

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1831520378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD",
            "address_2": "SUITE 1000-248",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377619",
            "telephone_number": "317-537-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD",
            "address_2": "SUITE 1000-248",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377619",
            "telephone_number": "317-537-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "TURNER-WADE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-537-0487",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.