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NPI Code Detail

MEDICARE: AUTISM BUILDING BLOCKS

MEDICARE: AUTISM BUILDING BLOCKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1841810553
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM BUILDING BLOCKS
Provider Business Mailing Address
First Line : 6180 BRENT THURMAN WAY STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5018
Country : US
Telephone Number : 702-813-3437
Fax Number :
Provider Business Practice Location Address
First Line : 6180 BRENT THURMAN WAY STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5018
Country : US
Telephone Number : 702-813-3437
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CLAUDIA ARCE ZENTENO
Credential :
Telephone Number : 702-813-3437
Provider Enumeration Date : 04/22/2020
Last Update Date : 08/26/2024

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Directions to “AUTISM BUILDING BLOCKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.