Organization Active NPI

Applied Support for Autism LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1861935942
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
800913131 Issued in NY
Legal business name
APPLIED SUPPORT FOR AUTISM LLC
Practice address
915 Bushwick Ave
Brooklyn, NY 11221-3738
Phone
(718) 313-6979
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Ms. Marilyn Lizardo, M.S. SP. ED.
Title
ABA Provider
Phone
(718) 313-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 800913131 NY Primary

Addresses

Primary practice location

915 Bushwick Ave
Brooklyn, NY 11221-3738

Mailing address

915 Bushwick Ave
Brooklyn, NY 11221-3738
Phone (718) 313-6979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1861935942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213738",
            "telephone_number": "718-313-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BUSHWICK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213738",
            "telephone_number": "718-313-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED SUPPORT FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "LIZARDO",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ABA PROVIDER",
        "authorized_official_telephone_number": "718-313-6979",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. SP. ED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "800913131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.