NPI 1437800604 · live from the CMS NPI Registry
Autism Living Experience, LLC
Behavior Analyst in Charlotte, NC. National Provider Identifier 1437800604, active.
NPI record
| NPI | 1437800604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8604 Cliff Cameron Dr Ste 180, Charlotte, NC 28269 |
| Practice phone | 888-392-8642 |
| Mailing address | 1990 Main St Ste 750, Sarasota, FL 34236 |
| Enumerated | January 10, 2022 |
| Last updated | June 11, 2026 |
| Authorized official | Todd Stuckey, Chief Financial Officer |
| Other names | Opal Autism Centers |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Psychologist | 103T00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.