Organization Active NPI

Autism Center for Development and Behavior

  • Developmentally Disabled Services Day Training Agency
  • West Melbourne, FL
National Provider Identifier
1891337937
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR
Practice address
160 Sagecrest Cir Apt 103
West Melbourne, FL 32904-8664
Phone
(281) 740-3080
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dr. Ed Riepl
Title
Director.
Phone
(321) 301-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

160 Sagecrest Cir Apt 103
West Melbourne, FL 32904-8664

Mailing address

160 Sagecrest Cir Apt 103
West Melbourne, FL 32904-8664
Phone (281) 740-3080

Other names 1

  • ACDB Other name

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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1891337937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SAGECREST CIR APT 103",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048664",
            "telephone_number": "281-740-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SAGECREST CIR APT 103",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048664",
            "telephone_number": "281-740-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "RIEPL",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DIRECTOR.",
        "authorized_official_telephone_number": "321-301-0066",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACDB",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ACDB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.