Northwest Arkansas Center for Autism & Developmental Disabilities

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHWEST ARKANSAS CENTER FOR AUTISM & DEVELOPMENTAL DISABILITIES

Practice address

2458 E Joyce Blvd Ste 10
Fayetteville, AR 72703-4519

Phone

(479) 871-7994

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Beth McKee, MSEDNPI 1285033951

Title

Program Director

Phone

(479) 871-7994

Specialties & licenses 1

Addresses

Other names 1

• On Your Mark Academy Former legal business name

Locations

Practitioners 1

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

• Beth McKee, BCBA, MSED

  • Behavior Analyst
  • Fayetteville, AR
  • NPI 1285033951
  NPD (past) Authorized official

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1942555495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 E JOYCE BLVD STE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-871-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 E JOYCE BLVD STE 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-871-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS CENTER FOR AUTISM & DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "479-871-7994",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On Your Mark Academy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• North Hills Surgery Center, LLC
• Northhills Dermatology
• Northport Health Services of Arkansas, LLC
• Northstar Partnering Group, LLC
• Northwest Arkansas Assessment and Therapy Services, PLLC
• Northwest Arkansas Endodontic Specialists, PA
• Northwest Arkansas Heart & Vascular Center
• Northwest Arkansas Id Specialists PA
• Northwest Arkansas Medical Imaging, Inc
• Northwest Arkansas Oral & Maxillofacial Surgery PLLC

• Community/Behavioral Health Agency in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.