Provider Demographics
NPI:1700159209
Name:NEURO-ASSISTIVE EDUCATIONAL SOLUTIONS
Entity Type:Organization
Organization Name:NEURO-ASSISTIVE EDUCATIONAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:EMBA
Authorized Official - Phone:770-298-5094
Mailing Address - Street 1:PO BOX 7042
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30154-0035
Mailing Address - Country:US
Mailing Address - Phone:770-298-5094
Mailing Address - Fax:
Practice Address - Street 1:4737 S SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4641
Practice Address - Country:US
Practice Address - Phone:770-298-5094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes273Y00000XHospital UnitsRehabilitation Unit
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251S00000XAgenciesCommunity/Behavioral Health