Organization
ACKERMAN AUTISM CENTER, LLC
Active
Other names
Ackerman Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HAGER (EXECUTIVE DIRECTOR)
(702) 844-4579
Entity
Organization
Contact information
Practice address
630 S RANCHO DR STE A&F, LAS VEGAS, NV 89106-4873
(702) 998-9505
Mailing address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
106S00000X
Behavior Technician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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