NPI 1922708478 · live from the CMS NPI Registry
Atlas Autism Health Missouri LLC
Clinic/Center, Adolescent and Children Mental Health in Columbia, MO. National Provider Identifier 1922708478, active.
NPI record
| NPI | 1922708478 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Adolescent and Children Mental Health 261QM0855X |
| Practice location | 800 Cherry St Lowr Suites, Columbia, MO 65201 |
| Practice phone | 573-200-6745 |
| Enumerated | March 3, 2023 |
| Last updated | December 30, 2024 |
| Authorized official | Abishek Thiagaraj, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Clinic/Center, Adolescent and Children Mental Health primary | 261QM0855X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.