Active NPI
Lucy Mkryan
- Assistant Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1093451650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 204909
- Practice address
- 6350 S Riley St Apt 204
Las Vegas, NV 89148-1343 - Phone
- (818) 746-6609
- NPI assigned
- May 6, 2022
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 204909 | NV | Primary |
Addresses
Primary practice location
6350 S Riley St Apt 204
Las Vegas, NV 89148-1343
Mailing address
6350 S Riley St Apt 204
Las Vegas, NV 89148-1343
Phone (818) 746-6609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JQC94223523D | Medicaid | CA |
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 |
|---|---|---|---|
| 204909 | NV | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1093451650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 S RILEY ST APT 204",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481343",
"telephone_number": "818-746-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 S RILEY ST APT 204",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481343",
"telephone_number": "818-746-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MKRYAN",
"first_name": "LUCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NV",
"license": "204909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JQC94223523D",
"state": "CA"
}
],
"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 May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.