Active NPI
Keith Oliver
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1245669928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5070 Harrison Dr Unit 116
Las Vegas, NV 89120-1098 - Phone
- (702) 762-5608
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | NV | Primary |
Addresses
Primary practice location
5070 Harrison Dr Unit 116
Las Vegas, NV 89120-1098
Mailing address
5070 Harrison Dr
Ste 116
Las Vegas, NV 89120-1096
Phone (702) 762-5608
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": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1245669928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5070 HARRISON DR",
"address_2": "STE 116",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201096",
"telephone_number": "702-762-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 HARRISON DR UNIT 116",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201098",
"telephone_number": "702-762-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.