Organization Active NPI

Summerlin ABA Services LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1013717875
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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 Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.