Active NPI
Fab Enterprises LLC
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1538013248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- FAB ENTERPRISES LLC
- Practice address
- 8413 Cinnamon Hill Ave
Las Vegas, NV 89129-6860 - Phone
- (440) 506-1620
- NPI assigned
- Feb 21, 2026
- Organization subpart
- Yes
- Parent organization
- FAB ENTERPRISES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tyrone Reynolds Jr.
- Title
- Speech Language Pathologist
- Phone
- (440) 506-1620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
8413 Cinnamon Hill Ave
Las Vegas, NV 89129-6860
Mailing address
8413 Cinnamon Hill Ave
Las Vegas, NV 89129-6860
National Provider Directory
National Provider Directory- Part of
- Fab Enterprises LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- North Canton, OH
- NPI 1801248877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772236800000",
"number": "1538013248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8413 CINNAMON HILL AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8413 CINNAMON HILL AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296860",
"telephone_number": "440-506-1620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAB ENTERPRISES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAB ENTERPRISES LLC",
"enumeration_date": "2026-02-21",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "TYRONE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "440-506-1620",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"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 Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.