Provider Demographics
| NPI: | 1396301743 |
|---|---|
| Name: | BRAIN GAINS THERAPY SOLUTIONS, LLC |
| Entity type: | Organization |
| Organization Name: | BRAIN GAINS THERAPY SOLUTIONS, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SPEECH-LANGUAGE PATHOLOGIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ALEXIS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | YERO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MS, CCC-SLP |
| Authorized Official - Phone: | 754-216-8839 |
| Mailing Address - Street 1: | 11120 NW 10TH PL |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CORAL SPRINGS |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33071-6302 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 754-216-8839 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 11120 NW 10TH PL |
| Practice Address - Street 2: | |
| Practice Address - City: | CORAL SPRINGS |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33071-6302 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 754-216-8839 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-05-10 |
| Last Update Date: | 2025-01-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
| No | 261QA3000X | Ambulatory Health Care Facilities | Clinic/Center | Augmentative Communication | |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | |
| No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | |
| No | 305S00000X | Managed Care Organizations | Point of Service | ||
| No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
