Active NPI
Tiara Nicole Thomas
- Behavior Technician
- North Las Vegas, NV
National Provider Identifier
1093398521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-166282
- Practice address
- 3940 W Ann Rd Ste 100
North Las Vegas, NV 89031-3845 - Phone
- (702) 820-8891
- Fax
- (721) 219-2920
- NPI assigned
- May 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-166282 | NV | Primary |
Addresses
Primary practice location
3940 W Ann Rd Ste 100
North Las Vegas, NV 89031-3845
Mailing address
3940 W Ann Rd Ste 100
North Las Vegas, NV 89031-3845
Phone (702) 820-8891
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-166282 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1093398521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 W ANN RD STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313845",
"telephone_number": "702-820-8891",
"fax_number": "721-219-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 W ANN RD STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890313845",
"telephone_number": "702-820-8891",
"fax_number": "721-219-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TIARA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "21-166282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North 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 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.