Active NPI
Rahsaan Kennard
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1114397445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3650 N Rancho Dr
106
Las Vegas, NV 89130-3150 - Phone
- (702) 740-5683
- Fax
- (702) 740-5684
- NPI assigned
- Sep 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Rehabilitation Psychologist | 103TR0400X |
Addresses
Primary practice location
3650 N Rancho Dr
106
Las Vegas, NV 89130-3150
Mailing address
3650 N Rancho Dr
106
Las Vegas, NV 89130-3150
Phone (702) 740-5683
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": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1114397445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 N RANCHO DR",
"address_2": "106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303150",
"telephone_number": "702-740-5683",
"fax_number": "702-740-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 N RANCHO DR",
"address_2": "106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303150",
"telephone_number": "702-740-5683",
"fax_number": "702-740-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNARD",
"first_name": "RAHSAAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"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 Sep 29, 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.