Michael Mazzone, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24661 Issued in NV

Practice address

3660 N Rancho Dr Ste 113
Las Vegas, NV 89130-3188

Phone

(702) 209-3544

Fax

(725) 205-3800

NPI assigned

May 3, 2017

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Lovaas Center for Behavior Intervention

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1689176935
  NPD (past)
• The Lovaas Center for Behavior Intervention, Inc.

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1548519895
  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1093241549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 N RANCHO DR STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303188",
            "telephone_number": "702-209-3544",
            "fax_number": "725-205-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 N RANCHO DR STE 113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303188",
            "telephone_number": "702-209-3544",
            "fax_number": "725-205-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 N Buffalo Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450311",
            "country_code": "US",
            "telephone_number": "702-877-2520",
            "fax_number": "702-877-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 N Rancho Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303188",
            "country_code": "US",
            "telephone_number": "702-209-3544",
            "fax_number": "725-205-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 W Flamingo Rd Ste C5",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891030137",
            "country_code": "US",
            "telephone_number": "702-877-2520",
            "fax_number": "702-877-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZONE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-16-24661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mazza, PTA
• Steven K Mazzacua
• Saffron Mazzia
• Daniel Alberto Mazzola
• Norma Mazzola
• Dianne Mazzu, MD
• Adriana Mbacke
• Heather Mbele
• MBM Plus Professional Corporation
• Evans M Mbuka

• 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 8, 2020; 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.