Provider Demographics
NPI:1518322577
Name:BELIEVE AUTISM
Entity Type:Organization
Organization Name:BELIEVE AUTISM
Other - Org Name:CRYSTAL S THOMPSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:SHAREE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:704-277-1884
Mailing Address - Street 1:31 W ADAMS ST APT 608
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-3631
Mailing Address - Country:US
Mailing Address - Phone:704-277-1884
Mailing Address - Fax:904-289-2672
Practice Address - Street 1:31 W ADAMS ST APT 608
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-3631
Practice Address - Country:US
Practice Address - Phone:704-277-1884
Practice Address - Fax:904-289-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103K00000X
FL1-14-15947252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty