Active NPI
Kemoni Berry
- Behavior Analyst
- North Las Vegas, NV
National Provider Identifier
1124442991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2535 W Cheyenne Ave
Suite 104
North Las Vegas, NV 89032-8929 - Phone
- (702) 202-2567
- NPI assigned
- Feb 13, 2014
- Sex
- Male
- Sole proprietor
- No
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 | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
2535 W Cheyenne Ave
Suite 104
North Las Vegas, NV 89032-8929
Mailing address
5575 Simmons St
#1-363
North Las Vegas, NV 89031-9009
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Academy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- North Las Vegas, NV
- NPI 1952744559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1124442991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 SIMMONS ST",
"address_2": "#1-363",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890319009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 W CHEYENNE AVE",
"address_2": "SUITE 104",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328929",
"telephone_number": "702-202-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KEMONI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-13",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.