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Autism Therapeutic Services

Behavior Analyst in Fayetteville, NC. Organization (NPI-2).

NPI number1598067449
StatusActive
Last updated in NPPESOct 23, 2023

Details

NPI
1598067449
Entity type
Organization (NPI-2)
Legal business name
Autism Therapeutic Services
Organization subpart
No
Enumeration date
Nov 29, 2010
Certification date
Oct 23, 2023
Last updated
Oct 23, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
103T00000X Psychologist––
106E00000X Assistant Behavior Analyst––
106S00000X Behavior Technician––
225100000X Physical Therapist––
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Other names

  • Healthpro Pediatrics (Doing Business As)

Practice location

568 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone 910-484-1722

Mailing address

568 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone 910-484-1711 · Fax 919-869-1685

Authorized official

Terra Scott
President-Pediatrics Division
3034374364

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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