NPIMap

Organization Active NPI

Diversified Community Services CDC

  • Behavior Analyst
  • North Las Vegas, NV
National Provider Identifier
1295011906
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DIVERSIFIED COMMUNITY SERVICES CDC
Practice address
2820 E Lake Mead Blvd
North Las Vegas, NV 89030-6514
Phone
(702) 749-8500
Fax
(702) 749-8509
NPI assigned
Oct 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Ms. Shannon Ashford
Title
Office Addiminstrator
Phone
(702) 749-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X NV Primary

Addresses

Primary practice location

2820 E Lake Mead Blvd
North Las Vegas, NV 89030-6514

Mailing address

2820 E Lake Mead Blvd
North Las Vegas, NV 89030-6514
Phone (702) 749-8500

Other names 1

  • DIVERSIFIED COMMUNITY SERVICES COMMUNITY DEVELOPMENT CORPORATION Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1295011906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306514",
            "telephone_number": "702-749-8500",
            "fax_number": "702-749-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306514",
            "telephone_number": "702-749-8500",
            "fax_number": "702-749-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COMMUNITY SERVICES CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE ADDIMINSTRATOR",
        "authorized_official_telephone_number": "702-749-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVERSIFIED COMMUNITY SERVICES COMMUNITY DEVELOPMENT CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.