Active NPI
Green Pathway
- Behavior Analyst
- North Las Vegas, NV
National Provider Identifier
1124936190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- GREEN PATHWAY
- Practice address
- 3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252 - Phone
- (661) 349-3799
- NPI assigned
- Aug 31, 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
- Ms. Anntanisha Green
- Title
- Owner
- Phone
- (661) 349-3799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252
Mailing address
3550 W Cheyenne Ave Ste 100
North Las Vegas, NV 89032-8252
Phone (661) 349-3799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1124936190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 W CHEYENNE AVE STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328252",
"telephone_number": "661-349-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 W CHEYENNE AVE STE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328252",
"telephone_number": "661-349-3799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN PATHWAY",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "ANNTANISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-349-3799",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.