Individual provider Active NPI

Latasha Burse

  • Behavior Analyst
  • N Las Vegas, NV
National Provider Identifier
1164912010
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2216 Ellis St Apt B
N Las Vegas, NV 89030-6077
Phone
(702) 463-0110
Fax
(702) 463-0166
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2216 Ellis St Apt B
N Las Vegas, NV 89030-6077

Mailing address

2216 Ellis St Apt B
N Las Vegas, NV 89030-6077
Phone (702) 463-0110

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

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1164912010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 ELLIS ST APT B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306077",
            "telephone_number": "702-463-0110",
            "fax_number": "702-463-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 ELLIS ST APT B",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306077",
            "telephone_number": "702-463-0110",
            "fax_number": "702-463-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSE",
        "first_name": "LATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.