Organization Active NPI

Neveda Behavioral Health

  • Behavior Analyst
  • Henderson, NV
National Provider Identifier
1174951651
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEVEDA BEHAVIORAL HEALTH
Practice address
930 Canale Drive
Henderson, NV 89011
Phone
(702) 326-7750
NPI assigned
Oct 21, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Nathanial Webb
Title
Owner
Phone
(702) 326-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

930 Canale Drive
Henderson, NV 89011

Mailing address

930 Canale Drive
Henderson, NV 89011
Phone (702) 326-7750

Other identifiers 2

IdentifierTypeStateIssuer
1701517598MedicaidNV
1701709061MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1174951651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CANALE DRIVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011",
            "telephone_number": "702-326-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CANALE DRIVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89011",
            "telephone_number": "702-326-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVEDA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "NATHANIAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-326-7750"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701517598",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701709061",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.