Active NPI
Foothills Autism Services ABA LLC
- Behavior Analyst
- Lenoir, NC
National Provider Identifier
1962219139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- FOOTHILLS AUTISM SERVICES ABA LLC
- Practice address
- 209 Eastwood Park Cir SE
Lenoir, NC 28645-6212 - Phone
- (828) 999-0355
- NPI assigned
- Dec 11, 2024
- 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
- Katelyn O'Hearn, BCBA, LBA
- Title
- Owner
- Phone
- (828) 999-0355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
209 Eastwood Park Cir SE
Lenoir, NC 28645-6212
Mailing address
209 Eastwood Park Cir SE
Lenoir, NC 28645-6212
Phone (828) 999-0355
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1962219139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 EASTWOOD PARK CIR SE",
"city": "LENOIR",
"state": "NC",
"postal_code": "286456212",
"telephone_number": "828-999-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 EASTWOOD PARK CIR SE",
"city": "LENOIR",
"state": "NC",
"postal_code": "286456212",
"telephone_number": "828-999-0355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILLS AUTISM SERVICES ABA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "O'HEARN",
"authorized_official_first_name": "KATELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-999-0355",
"authorized_official_credential": "BCBA, LBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
- Focus Behavioral Health Services, LLC
- Focus Behavioral Health Services, LLC
- Pamela Fogleman
- Foothills Area Program
- Foothills Area Program (Foothills Mental Health and Recovery)
- Foothills Counseling and Consulting PLLC
- Footprints Carolina, LLC
- Scott Edward Fox, PA-C
- Dawn Marie Frailly, RPH
- Amanda Goble Franks, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.