Active NPI
Brittney Nicole Elliott
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1154814655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 551AYN
- Practice address
- 2715 E. Russell Rd.
Las Vegas, NV 89120 - Phone
- (702) 848-1696
- NPI assigned
- Jun 8, 2018
- Reactivated
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 551AYN | NV | Primary |
Addresses
Primary practice location
2715 E. Russell Rd.
Las Vegas, NV 89120
Mailing address
2715 E. Russell Rd.
Las Vegas, NV 89120
Phone (702) 506-1854
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 551AYN | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1154814655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 E. RUSSELL RD.",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-506-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 E. RUSSELL RD.",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89120",
"telephone_number": "702-848-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "BRITTNEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-22",
"deactivation_date": "2018-06-08",
"reactivation_date": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "551AYN",
"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 Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.