NPIMap

Organization Active NPI

Lovingly Behavioral Wellness LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1073219143
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LOVINGLY BEHAVIORAL WELLNESS LLC
Practice address
6390 W Cheyenne Ave Ste D
Las Vegas, NV 89108-6009
Phone
(702) 763-5311
Fax
(702) 331-3066
NPI assigned
Feb 1, 2023
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Sandy Michelle Rodriguez, BCBA/LBANPI 1902414626
Title
Bcba
Phone
(702) 763-5311

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

6390 W Cheyenne Ave Ste D
Las Vegas, NV 89108-6009

Mailing address

6390 W Cheyenne Ave Ste D
Las Vegas, NV 89108-6009

Other practice location 1

1784 Black Hills Way
North Las Vegas, NV 89031-5042
Phone (702) 763-5311

Other practice location 2

310 N Dexter St
LA Habra, CA 90631-4841
Phone (702) 763-5311

National Provider Directory

National Provider Directory

Locations

6390 W Cheyenne Ave
Ste D
Las Vegas, NV 89108
Phone (702) 763-5311

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1073219143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 W CHEYENNE AVE STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891086009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 W CHEYENNE AVE STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891086009",
            "telephone_number": "702-763-5311",
            "fax_number": "702-331-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1784 Black Hills Way",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890315042",
            "country_code": "US",
            "telephone_number": "702-763-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 N Dexter St",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906314841",
            "country_code": "US",
            "telephone_number": "702-763-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVINGLY BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "702-763-5311",
        "authorized_official_credential": "BCBA/LBA"
    },
    "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 Mar 22, 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.