NPIMap

Organization Active NPI

Aggieland Autism Center, LLC

  • Behavior Analyst
  • College Station, TX
National Provider Identifier
1972039899
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AGGIELAND AUTISM CENTER, LLC
Practice address
3792 High Lonesome
College Station, TX 77845-9400
Phone
(979) 412-1423
Fax
(979) 859-7168
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Daniel Hawkins
Title
Business Manager
Phone
(979) 412-1423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3792 High Lonesome
College Station, TX 77845-9400

Mailing address

3792 High Lonesome
College Station, TX 77845-9400
Phone (979) 412-1423

Other practice location 1

22985 Highway 105 W
Montgomery, TX 77356-2245
Phone (979) 412-1423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1972039899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3792 HIGH LONESOME",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459400",
            "telephone_number": "979-412-1423",
            "fax_number": "979-859-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3792 HIGH LONESOME",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459400",
            "telephone_number": "979-412-1423",
            "fax_number": "979-859-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22985 Highway 105 W",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773562245",
            "country_code": "US",
            "telephone_number": "979-412-1423",
            "fax_number": "979-859-7168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGGIELAND AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "979-412-1423"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.