NPIMap

Organization Active NPI

Funxional Behavior Analysis

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1154970515
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FUNXIONAL BEHAVIOR ANALYSIS
Practice address
8433 Sable Beauty St
Las Vegas, NV 89131-2055
Phone
(702) 964-8996
NPI assigned
Sep 9, 2019
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Dr. Kristine Joy CortezNPI 1285001701
Title
Credentialing Specialist
Phone
(310) 987-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8433 Sable Beauty St
Las Vegas, NV 89131-2055

Mailing address

8433 Sable Beauty St
Las Vegas, NV 89131-2055
Phone (702) 964-8996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1154970515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 SABLE BEAUTY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312055",
            "telephone_number": "702-964-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 SABLE BEAUTY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312055",
            "telephone_number": "702-964-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNXIONAL BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "310-987-5009",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.