NPIMap

Organization Active NPI

Ackerman Autism Center, LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1184208753
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACKERMAN AUTISM CENTER, LLC
Practice address
630 S Rancho Dr Ste D
Las Vegas, NV 89106-4849
Phone
(702) 998-9505
Fax
(702) 527-7939
NPI assigned
May 10, 2021
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Hager
Title
Executive Director
Phone
(702) 844-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

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

Mailing address

630 S Rancho Dr Ste D
Las Vegas, NV 89106-4849
Phone (702) 998-9505

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.grantagiftautismfoundation.org

National Provider Directory

National Provider Directory
Tax ID family
Ackerman Autism Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 S Rancho Dr
Ste D
Las Vegas, NV 89106
Phone (702) 878-2244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1184208753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064849",
            "telephone_number": "702-998-9505",
            "fax_number": "702-527-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064849",
            "telephone_number": "702-998-9505",
            "fax_number": "702-527-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "HAGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-844-4579"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.grantagiftautismfoundation.org",
            "affiliation": "N",
            "address_1": "630 S Rancho Dr Ste D",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891064849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.