Autism Therapeutic Services
Behavior Analyst in Louisville, KY. Organization (NPI-2).
NPI number1104582964
StatusActive
Last updated in NPPESNov 10, 2023
Details
- NPI
- 1104582964
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Therapeutic Services
- Organization subpart
- No
- Enumeration date
- Nov 16, 2021
- Certification date
- Nov 10, 2023
- Last updated
- Nov 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Other names
- Healthpro Pediatrics (Doing Business As)
Practice location
9850 Von Allmen Ct Ste 201Louisville, KY 40241-2855
Phone 910-484-1711
Mailing address
568 Sandhurst DrFayetteville, NC 28304-4426
Authorized official
Terra Rae Scott
Svp Outpatient Pediatrics
3034374364
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