Active NPI
Autism Services North
- Behavior Analyst
- Mechanicsburg, PA
National Provider Identifier
1881864916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-00-0010
- Legal business name
- AUTISM SERVICES NORTH
- Practice address
- 275 Cumberland Parkway
Suite 316
Mechanicsburg, PA 17005 - Phone
- (800) 306-8602
- Fax
- (818) 241-6853
- NPI assigned
- Mar 5, 2008
- Last updated
- Aug 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Russell
- Title
- C.F.O.
- Phone
- (818) 241-6780
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | 1-00-0010 | Primary | |
| Behavior Analyst | 103K00000X | 1-04-1754 |
Addresses
Primary practice location
275 Cumberland Parkway
Suite 316
Mechanicsburg, PA 17005
Mailing address
505 N. Brand Blvd
Suite 1000
Glendale, CA 91203
Phone (855) 295-3276
National Provider Directory
National Provider Directory- Tax ID family
- Autism Services North
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Dillsburg, PA
- NPI 1295070464
Locations
275 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (844) 588-4222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409184000000",
"number": "1881864916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N. BRAND BLVD",
"address_2": "SUITE 1000",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "855-295-3276",
"fax_number": "818-241-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CUMBERLAND PARKWAY",
"address_2": "SUITE 316",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "17005",
"telephone_number": "800-306-8602",
"fax_number": "818-241-6853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM SERVICES NORTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2014-08-28",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "818-241-6780",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-00-0010",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-04-1754",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.