Healthcare Provider Details

I. General information

NPI: 1265277867
Provider Name (Legal Business Name): ADAPTIVE MINDS ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 N BUFFALO DR STE 101
LAS VEGAS NV
89128-2679
US

IV. Provider business mailing address

1770 N BUFFALO DR STE 101
LAS VEGAS NV
89128-2679
US

V. Phone/Fax

Practice location:
  • Phone: 818-438-3250
  • Fax:
Mailing address:
  • Phone: 818-438-3250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIEL RUBENSTEIN
Title or Position: CEO
Credential:
Phone: 818-438-3250