MEDICARE: ADAPTIVE MINDS ABA

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
1	224Z00000X	Occupational Therapy Assistant
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1609700566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE MINDS ABA

Provider Business Mailing Address
First Line	:	1770 N BUFFALO DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-2679
Country	:	US
Telephone Number	:	818-438-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	1770 N BUFFALO DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-2679
Country	:	US
Telephone Number	:	818-438-3250
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL RUBENSTEIN
Credential	:
Telephone Number	:	818-438-3250

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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