Nylasia Packer

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1403364680 Issued in NV

Practice address

6360 S Pecos Rd
Suite 4
Las Vegas, NV 89120-3296

Phone

(702) 816-3400

NPI assigned

Apr 2, 2013

Last updated

Jun 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1225371891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E AZURE AVE APT 3088",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816882",
            "telephone_number": "702-917-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S PECOS RD",
            "address_2": "SUITE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203296",
            "telephone_number": "702-816-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "NYLASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1403364680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403364680",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Dorothy Pacitto, LPC, LLP, CPC
• Edmond Elias Pack, M.D.
• Sheresa Pack
• Zachary Bryan Pack, PA-C
• Angelena Packard
• Taylor Packwood
• Rhenial Paclibar
• Valerie Arcelo Paculanan
• John Pacult, LCSW
• Janelle Padayhag

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.