Active NPI
Chaslo, LLC
- Speech-Language Pathologist
- Snellville, GA
National Provider Identifier
1295377612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CHASLO, LLC
- Practice address
- 3035 Centerville Hwy Ste 11
Snellville, GA 30039-6800 - Phone
- (800) 381-2195
- Fax
- (888) 381-0822
- NPI assigned
- Oct 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Fayne
- Title
- Director of Operations
- Phone
- (800) 381-2195
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3035 Centerville Hwy Ste 11
Snellville, GA 30039-6800
Mailing address
3035 Centerville Hwy Ste 11
Snellville, GA 30039-6800
Phone (800) 381-2195
National Provider Directory
National Provider DirectoryLocations
3035 Centerville Hwy
Ste 11
Snellville, GA 30039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571270400000",
"number": "1295377612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 CENTERVILLE HWY STE 11",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396800",
"telephone_number": "800-381-2195",
"fax_number": "888-381-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 CENTERVILLE HWY STE 11",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396800",
"telephone_number": "800-381-2195",
"fax_number": "888-381-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHASLO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A",
"authorized_official_last_name": "FAYNE",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "800-381-2195"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.