Healthcare Provider Details

I. General information

NPI: 1588950067
Provider Name (Legal Business Name): THE CENTER FOR ADVANCED LEARNING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3953 S MCCARRAN BLVD
RENO NV
89502-7510
US

IV. Provider business mailing address

3953 S MCCARRAN BLVD
RENO NV
89502-7510
US

V. Phone/Fax

Practice location:
  • Phone: 775-826-3111
  • Fax: 775-826-3110
Mailing address:
  • Phone: 775-826-3111
  • Fax: 775-826-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KENDRA L RICKARD
Title or Position: DIRECTOR
Credential: PHD, BCBA-D, LBA
Phone: 775-826-3111