Active NPI
Summerlin ABA Services LLC
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1013717875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SUMMERLIN ABA SERVICES LLC
- Practice address
- 1701 Desert Fort St
Las Vegas, NV 89128-8284 - Phone
- (702) 845-5773
- NPI assigned
- Mar 19, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jocelyn Thomas
- Title
- Biller
- Phone
- (201) 241-0079
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
NPPES NPI RegistryPrimary practice location
1701 Desert Fort St
Las Vegas, NV 89128-8284
Mailing address
1701 Desert Fort St
Las Vegas, NV 89128-8284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2025.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1013717875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 DESERT FORT ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891288284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 DESERT FORT ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891288284",
"telephone_number": "702-845-5773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMERLIN ABA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "JOCELYN",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "201-241-0079"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.