Healthcare Provider Details

I. General information

NPI: 1346896545
Provider Name (Legal Business Name): AUTISM SPECTRUM SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 04/27/2024
Certification Date: 04/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 S 70TH ST
LINCOLN NE
68506-1577
US

IV. Provider business mailing address

1560 S 70TH ST
LINCOLN NE
68506-1577
US

V. Phone/Fax

Practice location:
  • Phone: 402-318-3105
  • Fax:
Mailing address:
  • Phone: 402-318-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY ANN STANLEY
Title or Position: OWNER
Credential: BCBA, LMHP
Phone: 402-318-3105