Autism Care Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM CARE GROUP LLC

Practice address

13160 Piedmont Vista Dr
Haymarket, VA 20169-2642

Phone

(571) 488-8107

Fax

(571) 408-4966

NPI assigned

Aug 1, 2022

Organization subpart

No

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

Authorized official

Name

Faisal Tarakhail, ADMIN

Title

Admin

Phone

(571) 488-8107

Specialties & licenses 1

Addresses

Other names 1

• Autism Care Group LLC Doing business as

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1982331955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 PIEDMONT VISTA DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692642",
            "telephone_number": "571-488-8107",
            "fax_number": "571-408-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 PIEDMONT VISTA DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692642",
            "telephone_number": "571-488-8107",
            "fax_number": "571-408-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "TARAKHAIL",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "571-488-8107",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Care Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ionela Raluca Antonoiu, FNP
• Ceferina A Arenaza I
• Fakhra Arsalan
• Kwadwo Asiama
• Autism Behavior Therapies
• Awesome Kids Dental PLLC
• Oladunni Ayanru
• Balance Physical Therapy Services, LLC
• Susan McAllister Bannan, LPTA
• Katica Barbul

• Behavior Analyst in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.