NPI 1053993758 · live from the CMS NPI Registry
Achieve Better Health Cooperative
Speech-Language Pathologist, in Las Vegas, NV. National Provider Identifier 1053993758, active.
NPI record
| NPI | 1053993758 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2275 Autumn Fire Ct, Las Vegas, NV 89117 |
| Practice phone | 725-735-4145 |
| Enumerated | April 22, 2021 |
| Last updated | March 30, 2022 |
| Authorized official | Jenali Bricher, Cooperative Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | — |
| Nursing Care | 251J00000X | — |
| Physical Therapist | 225100000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.