AUTISTIC TREATMENT CENTER INC (NPI# 1932455284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932455284 |
Entity Type | Organization |
Organization Name | AUTISTIC TREATMENT CENTER INC |
Other Organization Name | AUTISM TREATMENT CENTER |
Practice Address |
1100 Circle Dr Ste. 101 Fort Worth TX 76119-8111 |
Practice Telephone | 8175661100 |
Practice Fax Number | 8175366945 |
Mailing Telephone | 8175661100 |
Mailing Fax Number | 8175366945 |
Enumeration Date | 2012-07-24 |
Last Update Date | 2013-10-09 |
Authorized Official Name | MS. LAURA E. GOLDEN (ADMINISTRATOR) |
Authorized Official Telephone | 8175661111 |
Authorized Official Credential | OTR, OTD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
AUTISM TREATMENT CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376876623 | Autistic Treatment Center Inc | Psychologist | 16111 Nacogdoches Rd, San Antonio, TX 78247-1002 | 2009-09-17 |
Street Address |
1100 CIRCLE DR STE. 101 |
City | FORT WORTH |
State | TX |
Zip Code | 76119-8111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831414580 | Rw Boss Health Masters Homecare Inc | Home Health | 1100 Circle Dr, Suite 200, Fort Worth, TX 76119-8111 | 2010-04-06 |
1235625526 | Martha Beatrice Matthews | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-07-10 |
1528559770 | Leah Marie Waldron | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
1518458769 | Luz Aurora Seboek | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
1578054722 | Daisy Favela | Behavioral Analyst | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
1538650791 | Logan Patrick Spiddle | Behavior Technician | 1100 Circle Dr, Fort Worth, TX 76119-8111 | 2018-05-23 |
1326485640 | Veronica Kay Macias | Speech-Language Pathologist | 1100 Circle Dr, Suite 101, Fort Worth, TX 76119-8111 | 2013-05-28 |
1801231063 | Laura Elizabeth Golden | Occupational Therapist | 1100 Circle Dr, Suite 101, Fort Worth, TX 76119-8111 | 2013-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
Find all providers in zip 76119 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76119 |
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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.