Organization Active NPI

Autism Services North

  • Behavior Analyst
  • Mechanicsburg, PA
National Provider Identifier
1881864916
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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)CodeLicenseStatePrimary
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 North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.