Wellformed AI

NPI 1891455309 · live from the CMS NPI Registry

Autism And Brain Institute INC

Speech-Language Pathologist, in Las Vegas, NV. National Provider Identifier 1891455309, active.

NPI record

NPI1891455309 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location9480 S Eastern Ave Ste 273, Las Vegas, NV 89123
Practice phone702-463-5460
Mailing address10300 W Charleston Blvd Ste 549, Las Vegas, NV 89135
EnumeratedDecember 23, 2021
Last updatedOctober 20, 2026
Authorized officialKatherine Wallisch, Ceo
Other namesAac Speech Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X—
Pediatrics208000000X—
Physical Therapist225100000X—
Occupational Therapist225X00000X—
Audiologist231H00000X—
Speech-Language Pathologist, primary235Z00000X—
Clinic/Center, Augmentative Communication261QA3000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.