Organization
AUTISM AND BRAIN INSTITUTE INC
Active
Organization
AUTISM AND BRAIN INSTITUTE INC
Active
Other names
AAC Speech Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE HANTA WALLISCH M.S. CCC-SLP (CEO)
(702) 355-9862
Entity
Organization
Contact information
Practice address
9480 S EASTERN AVE STE 273, LAS VEGAS, NV 89123-8000
(702) 463-5460
(888) 316-4826
Mailing address
10300 W CHARLESTON BLVD STE 549, LAS VEGAS, NV 89135-1037
(702) 463-5460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
Other
Enumeration date
12/23/2021
Last updated
07/23/2022
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