Active NPI
Beverly Young Wykoff, MSW,MS,MA
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1295974632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- C2994
- Practice address
- 2113 Plaza del Padre
Spanish Oaks
Las Vegas, NV 89102-3917 - Phone
- (702) 743-7035
- Fax
- (702) 486-8367
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- 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 | C2994 | NV | Primary |
Addresses
Primary practice location
2113 Plaza del Padre
Spanish Oaks
Las Vegas, NV 89102-3917
Mailing address
2113 Plaza del Padre
Spanish Oaks
Las Vegas, NV 89102-3917
Phone (702) 486-4400
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)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2994 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1295974632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 PLAZA DEL PADRE",
"address_2": "SPANISH OAKS",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891023917",
"telephone_number": "702-486-4400",
"fax_number": "702-486-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 PLAZA DEL PADRE",
"address_2": "SPANISH OAKS",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891023917",
"telephone_number": "702-743-7035",
"fax_number": "702-486-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYKOFF",
"first_name": "BEVERLY",
"middle_name": "YOUNG",
"name_prefix": "Ms.",
"credential": "MSW,MS,MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "C2994",
"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 Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.