NPIMap

Organization Active NPI

The Autism Collaborative Group

  • Behavior Analyst
  • Garden Grove, CA
National Provider Identifier
1962064998
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE AUTISM COLLABORATIVE GROUP
Practice address
12777 Valley View St Ste 121
Garden Grove, CA 92845-2521
Phone
(714) 337-6484
Fax
(855) 213-2184
NPI assigned
Jun 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mrs. Amber Rene Raemer, BCBANPI 1558618926
Title
Director
Phone
(714) 337-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12777 Valley View St Ste 121
Garden Grove, CA 92845-2521

Mailing address

12777 Valley View St Ste 121
Garden Grove, CA 92845-2521
Phone (714) 337-6484

National Provider Directory

National Provider Directory

Locations

12792 Valley View St
Ste 201
Garden Grove, CA 92845

12777 Valley View St
Ste 121
Garden Grove, CA 92845
Phone (714) 337-6484

Practitioners & affiliated clinicians

Practitioners 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1962064998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 121",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-337-6484",
            "fax_number": "714-894-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 VALLEY VIEW ST STE 121",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452521",
            "telephone_number": "714-337-6484",
            "fax_number": "855-213-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUTISM COLLABORATIVE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "RAEMER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-337-6484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.