NPIMap

Organization Active NPI

Autism Connection Inc.

  • Behavior Analyst
  • Bel Air, MD
National Provider Identifier
1871204396
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM CONNECTION INC.
Practice address
101 E Wheel Rd
Bel Air, MD 21015-6114
Phone
(727) 366-0323
NPI assigned
Dec 6, 2022
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Ms. Anastasia Koukoulis, MA.TNPI 1144889338
Title
Owner/Director
Phone
(273) 660-3237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

101 E Wheel Rd
Bel Air, MD 21015-6114

Mailing address

3359 Cheverly CT
Abingdon, MD 21009-2854
Phone (727) 366-0323

Other identifiers 1

IdentifierTypeStateIssuer
547900201MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akoukoulis@autismconnectioninc.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Autism Connection Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 E Wheel Rd
Bel Air, MD 21015
Phone (410) 569-2929

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1871204396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CHEVERLY CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092854",
            "telephone_number": "727-366-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WHEEL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156114",
            "telephone_number": "727-366-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CONNECTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "KOUKOULIS",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "273-660-3237",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA.T"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547900201",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoukoulis@autismconnectioninc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 E Wheel Rd",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210156114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.