Kelly Demos

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

LABA0321 Issued in NV

Practice address

408 S Jones Blvd
Las Vegas, NV 89107-2658

Phone

(702) 502-8021

NPI assigned

Aug 2, 2016

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Applied Behavior Analysis Institute, Inc.

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1366730434
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1114470531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8716 CASTLE RIDGE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298307",
            "telephone_number": "310-613-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072658",
            "telephone_number": "702-502-8021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Sedro St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446813",
            "country_code": "US",
            "telephone_number": "702-496-1367 x97449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOS",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "LABA0321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munira Demissie
• Jessica Demke, LCSW
• Jaymonisha Demmons
• Democracy Prep Agassi Campus (Democracy Prep at the Agassi Campus)
• Christina A Demopoulos, DDS
• Andrea Lee Dempsey, MD
• Sean Edward Dempsey, MD
• Lloyd Dempster
• Marjorie Everlle Dempster
• Lindy Demunbrun

• Assistant Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assistant Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.