Organization Active NPI

Aurora Center for Autism

  • Behavior Analyst
  • Longwood, FL
National Provider Identifier
1881268100
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AURORA CENTER FOR AUTISM
Practice address
670 Mossy Branch CT
Longwood, FL 32779-2638
Phone
(314) 406-6075
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Dr. Melissa Lynne King, PH.D., BCBA-DNPI 1568718666
Title
Co-Owner
Phone
(314) 406-6075

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

670 Mossy Branch CT
Longwood, FL 32779-2638

Mailing address

670 Mossy Branch CT
Longwood, FL 32779-2638
Phone (314) 406-6075

Other identifiers 1

IdentifierTypeStateIssuer
024731500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1881268100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MOSSY BRANCH CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792638",
            "telephone_number": "314-406-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MOSSY BRANCH CT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792638",
            "telephone_number": "314-406-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "314-406-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "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": "024731500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.