Grant a Gift Autism Foundation

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-14-5003 Issued in NV

Legal business name

GRANT A GIFT AUTISM FOUNDATION

Practice address

630 S Rancho Dr
Las Vegas, NV 89106-4873

Phone

(702) 564-2453

Fax

(702) 527-5353

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Tache

Title

Executive Director

Phone

(702) 564-2453

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1225498348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064873",
            "telephone_number": "702-564-2453",
            "fax_number": "702-527-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064873",
            "telephone_number": "702-564-2453",
            "fax_number": "702-527-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT A GIFT AUTISM FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "TACHE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-564-2453",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "0-14-5003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Granite Sahara Surgical Center, LLC
• Granite Surgery Center
• Diane Grano
• Irvin Shuhei Granstrom, MFT-I, CADC-I
• Kailey Jia Xin Granstrom, MFT-I
• Angel D Grant, CASE MANAGER
• Annastaaejai Grant
• Bernadette Dolores Grant, D.C.
• Brejanae Grant
• Camryn Hailee Grant

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.