Active NPI
Wellharbor NV LLC
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1114826765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- WELLHARBOR NV LLC
- Practice address
- 5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330 - Phone
- (732) 860-8460
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Samuel
- Title
- Director
- Phone
- (732) 860-8460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330
Mailing address
5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330
Phone (732) 860-8460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1114826765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5258 S EASTERN AVE STE 151",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891192330",
"telephone_number": "732-860-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5258 S EASTERN AVE STE 151",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891192330",
"telephone_number": "732-860-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLHARBOR NV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-860-8460"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.