NPI 1609156413 · live from the CMS NPI Registry
Academy For The Advancement Of Children With Autism
Speech-Language Pathologist, in Chatsworth, CA. National Provider Identifier 1609156413, active.
NPI record
| NPI | 1609156413 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 10824 Topanga Canyon Blvd, Chatsworth, CA 91311 |
| Practice phone | 818-882-0200 |
| Mailing address | 4083 W Avenue L # 344, Lancaster, CA 93536 |
| Enumerated | August 24, 2011 |
| Last updated | August 24, 2011 |
| Authorized official | Leslie Ghrist, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School | 103TS0200X | 2703 (CA) |
| Psychologist, School | 103TS0200X | 2847 (CA) |
| Physical Therapist | 225100000X | 34327 (CA) |
| Physical Therapist, Geriatrics | 2251G0304X | 34327 (CA) |
| Physical Therapist, Pediatrics | 2251P0200X | 34327 (CA) |
| Physical Therapist, Orthopedic | 2251X0800X | 34327 (CA) |
| Occupational Therapist | 225X00000X | 6659 (CA) |
| Occupational Therapist, Feeding, Eating & Swallowing | 225XF0002X | 6659 (CA) |
| Occupational Therapist, Neurorehabilitation | 225XN1300X | 6659 (CA) |
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | 6659 (CA) |
| Occupational Therapist, Pediatrics | 225XP0200X | 6659 (CA) |
| Audiologist | 231H00000X | 1920 (CA) |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | 1032 (CA) |
| Speech-Language Pathologist, primary | 235Z00000X | 4999 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.