Organization
GOALS FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRYON KETCHAM (CEO)
(415) 915-9408
Entity
Organization
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8385
(925) 264-1902
Mailing address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(888) 531-8385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/12/2019
Last updated
01/20/2021
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