Healthcare Provider Details
I. General information
NPI: 1386391050
Provider Name (Legal Business Name): NEVADA AUTISM CENTER
Entity Type: Organization
Gender: F
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: Our lead BCBA and the team of technicians are very involved with the care being provided to your child. Our team works together with children and their families to achieve their individual goals and ensure that major concerns are tended to immediately. We offer in-clinic and in-home therapy services for the convenience of children and their families. Additionally, we offer advanced diagnostics available on-site and via telemedicine. We will work with your insurance company, including Medicaid, to establish services to begin therapy as soon as possible.
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7730 West Sahara Avenue 115
Las Vegas NV
89117
US
IV. Provider business mailing address
7730 West Sahara Avenue 115
Las Vegas NV
89117
US
V. Phone/Fax
- Phone: (702) 660-2005
- Fax:
- Phone: (702) 660-2005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavioral Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VLADIMIR
KOGAN
Title or Position: OWNER
Credential:
Phone: 646-598-7765