Organization · NPI-2

Ackerman Autism Center, LLC

Pediatrics, Developmental - Behavioral Pediatrics · Las Vegas, NV

NPI number1306416433
StatusActive
Last updated in NPPESJun 30, 2021

Details

NPI
1306416433
Entity type
Organization (NPI-2)
Legal business name
Ackerman Autism Center, LLC
Organization subpart
No
Enumeration date
Jun 30, 2021
Certification date
Jun 9, 2021
Last updated
Jun 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––Yes

Practice location

630 S Rancho Dr Ste A
Las Vegas, NV 89106-4849

Phone 702-844-4579

Mailing address

630 S Rancho Dr Ste A
Las Vegas, NV 89106-4849

Phone 702-844-4579

Authorized official

Brian Hager
Executive Director
7028444579

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