Organization Active NPI

Battle Born Behavior Center LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1265152276
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BATTLE BORN BEHAVIOR CENTER LLC
Practice address
9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903
Phone
(702) 241-5568
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Thomas Willian Bowen
Title
Owner/Ceo
Phone
(702) 241-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903

Mailing address

9898 Scottish Glen CT
Las Vegas, NV 89178-3854
Phone (702) 241-5568

Other identifiers 1

IdentifierTypeStateIssuer
1134505191MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thom@bbbcnv.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1265152276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 SCOTTISH GLEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783854",
            "telephone_number": "702-241-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-241-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE BORN BEHAVIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-241-5568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134505191",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thom@bbbcnv.com",
            "affiliation": "N",
            "endpointDescription": "This message and accompanying documents may contain confidential information and/or protected health information intended for disclosure only to the authorized recipient.  If you are not the intended recipient, any unauthorized interception, review, dissemination, copying, and/or disclosure of this information are violations of both Electronic Communications Privacy Act and the Health Insurance Portability and Accountability Act. If this message is received in error, please notify the sender immediately, delete the message and destroy any hard copies printed.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9260 W Sunset Rd Ste 204",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891484903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 30, 2022; 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.