Organization Active NPI

Foothills Autism Services ABA LLC

  • Behavior Analyst
  • Lenoir, NC
National Provider Identifier
1962219139
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Dec 11, 2024

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.