AUTISM THERAPEUTIC SERVICES (NPI# 1598067449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598067449 |
| Entity Type | Organization |
| Organization Name | AUTISM THERAPEUTIC SERVICES |
| Practice Address |
2919 Breezewood Ave Ste 101 Fayetteville NC 28303-5283 |
| Practice Telephone | 9104841711 |
| Practice Fax Number | 9198691685 |
| Mailing Telephone | 9104841711 |
| Mailing Fax Number | 9198691685 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | JACKIE PFUNTNER (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 9104841711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Autism Therapeutic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942751979 | Autism Therapeutic Services | Assistant Behavior Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2016-10-14 |
| Street Address |
2919 BREEZEWOOD AVE STE 101 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457906 | Doniecia Ebron | Behavioral Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-11-03 |
| 1003422536 | Christina Brindley | Speech-Language Pathologist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-09-21 |
| 1346850864 | Natalie Fitzgerald | Speech-Language Pathologist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-08-10 |
| 1205446721 | Morgan Williamson | Occupational Therapist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-08-10 |
| 1134739188 | Brittany Perkins | Behavioral Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-08-05 |
| 1881202604 | Elizabeth Reabold | Behavioral Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-07-17 |
| 1144838988 | Adrianne Flowers | Behavioral Analyst | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-07-17 |
| 1437767563 | Taylor Giglio | Occupational Therapist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-07-15 |
| 1922622729 | Amber Grello | Occupational Therapist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-06-08 |
| 1265055180 | Hannah Dopson | Occupational Therapist | 2919 Breezewood Ave Ste 101, Fayetteville, NC 28303-5283 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339814 | Spectrum Therapeutic Learning Center, LLC | Behavioral Analyst | 2270 Thornton Taylor Pkwy Ste B, Fayetteville, TN 37334-3669 | 2020-06-08 |
| 1134764780 | Mary Ann Mcintyre | Behavioral Analyst | 3677 W Weir Rd, Fayetteville, AR 72704-5906 | 2019-11-07 |
| 1447718630 | Lauren Ann Mcloughlin | Behavioral Analyst | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2019-03-06 |
| 1417414327 | Kimberly Ann Brauner | Behavioral Analyst | 2331 Bentridge Ln, Fayetteville, NC 28304-0587 | 2019-02-27 |
| 1114490984 | Haymount Institute for Psychological Services, Pllc | Behavioral Analyst | 996 Helen St, Fayetteville, NC 28303-3069 | 2019-01-04 |
| 1053891937 | Bev Graham | Behavioral Analyst | 3155 N College Ave Ste 108, Fayetteville, AR 72703-3500 | 2018-08-20 |
| 1275012270 | Behavior Change Agents LLC | Behavioral Analyst | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2018-08-09 |
| 1376049551 | Alina Lovano | Behavioral Analyst | 2919 Breezewood Ave Ste 202, Fayetteville, NC 28303-5283 | 2018-04-05 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1073020020 | Maurice D Jackson | Behavioral Analyst | 6985 Nexus Ct Ste 107, Fayetteville, NC 28304-3186 | 2017-12-29 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.