Nicholas Jacob Samenuk

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755

Phone

(702) 209-0370

Fax

(702) 463-1851

NPI assigned

Sep 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1033945597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 S JONES BLVD APT 1047",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396152",
            "telephone_number": "419-344-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMENUK",
        "first_name": "NICHOLAS",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warda Samater
• Zaynab Samater
• Jericho J.R. Samatra, BA
• Nohemi Chantal Samayoa
• Samantha Sambrano
• Samer Shuaib MD Inc
• Shawkat Sami
• Beanca Jhanine Mulato Samiano, DMD
• Johanne Samiano
• Kian Samimi

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.