Active NPI
Goals for Autism, Inc.
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1336791920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GOALS FOR AUTISM, INC.
- Practice address
- 5940 S Rainbow Blvd
Las Vegas, NV 89118-2506 - Phone
- (888) 531-8385
- Fax
- (925) 264-1902
- NPI assigned
- Jul 12, 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
- Adryon Ketcham
- Title
- Ceo
- Phone
- (415) 915-9408
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Mailing address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (888) 531-8385
National Provider Directory
National Provider Directory- Tax ID family
- Goals for Autism Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Walnut Creek, CA
- NPI 1366773012
-
- Behavior Analyst
- Meridian, ID
- NPI 1720678923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611100800000",
"number": "1336791920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "888-531-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "888-531-8385",
"fax_number": "925-264-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOALS FOR AUTISM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-12",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A",
"authorized_official_last_name": "KETCHAM",
"authorized_official_first_name": "ADRYON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-915-9408"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 20, 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.