NPIMap

Organization Active NPI

Autism Behavior Solutions Corp.

Doing business as Autism Behavior Solutions

  • Behavior Analyst
  • Puyallup, WA
National Provider Identifier
1881416840
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM BEHAVIOR SOLUTIONS CORP.
Doing business as
Autism Behavior Solutions
Practice address
12104 172ND Street CT E
Puyallup, WA 98374-4509
Phone
(775) 224-0445
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Ivy Gillette
Title
Director
Phone
(775) 224-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12104 172ND Street CT E
Puyallup, WA 98374-4509

Mailing address

12104 172ND Street CT E
Puyallup, WA 98374-4509
Phone (775) 224-0445

Other names 1

  • Autism Behavior Solutions Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1881416840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 172ND STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744509",
            "telephone_number": "775-224-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 172ND STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744509",
            "telephone_number": "775-224-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR SOLUTIONS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-224-0445"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Behavior Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.