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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