Organization Active NPI

Silver State Pediatric Behavioral Services LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1013854579
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SILVER STATE PEDIATRIC BEHAVIORAL SERVICES LLC
Practice address
1391 S Jones Blvd BLDG 1301
Las Vegas, NV 89146-1200
Phone
(702) 310-3720
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel MathisNPI 1982372645
Title
Ceo
Phone
(702) 521-8332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1391 S Jones Blvd BLDG 1301
Las Vegas, NV 89146-1200

Mailing address

1391 S Jones Blvd BLDG 1301
Las Vegas, NV 89146-1200
Phone (702) 310-3720

National Provider Directory

National Provider Directory
Tax ID family
Silver State Pediatric Behavioral Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1391 S Jones Blvd
Bldg 1301
Las Vegas, NV 89146
Phone (702) 310-3720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1013854579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 S JONES BLVD BLDG 1301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461200",
            "telephone_number": "702-310-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 S JONES BLVD BLDG 1301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461200",
            "telephone_number": "702-310-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE PEDIATRIC BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-521-8332"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 7, 2026; 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.