Active NPI
Anitra Egnor
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1083086458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5258 S Eastern Ave Ste 105
Las Vegas, NV 89119-2327 - Phone
- (702) 464-5080
- Fax
- (702) 464-5080
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
5258 S Eastern Ave Ste 105
Las Vegas, NV 89119-2327
Mailing address
5157 Comida LN
N Las Vegas, NV 89031-3318
Phone (702) 239-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1083086458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5157 COMIDA LN",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890313318",
"telephone_number": "702-239-1989",
"fax_number": "702-464-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5258 S EASTERN AVE STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891192327",
"telephone_number": "702-464-5080",
"fax_number": "702-464-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGNOR",
"first_name": "ANITRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"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 Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.