Kanoa Daniel Ikeda-Flynn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10180 Deerfield Beach Ave Unit 201
Las Vegas, NV 89129-1040

Phone

(702) 409-8210

NPI assigned

Jun 1, 2022

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

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1104565787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 DEERFIELD BEACH AVE UNIT 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291040",
            "telephone_number": "702-409-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 DEERFIELD BEACH AVE UNIT 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291040",
            "telephone_number": "702-409-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEDA-FLYNN",
        "first_name": "KANOA",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obidike Iheanacho
• Daniel Edward Ihnen
• Thomas Takatomo Bishop Iida
• Jaymz Ike
• Stella Ikeadighi
• Alan K Ikeda, MD
• Andrea Ikeda, LSW, MSW
• Aya Ikeda, CADC
• Laura Ikeh
• Obinna Ikerionwu, RN

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.