Nichol Peck, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0578 Issued in NV

Practice address

2075 E Windmill Lane
Ste. 150
Las Vegas, NV 89123

Phone

(702) 326-5996

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Care West LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1578803623
  NPD
• Unlv Medicine

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1184152274
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1306403514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E WINDMILL LANE",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WINDMILL LANE",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-326-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "NICHOL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nichol.peck@unlv.edu",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "UNLV Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4000 E Charleston Blvd Ste B130",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891046681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pebble Creek of Las Vegas, LLC
• Joseph Pecayo, COTA/L
• Brad Lee Peck, DPM
• James Peck
• Michael Peck
• Skyler Peck
• Steven D. Peck, D,C
• Victoria Kylee Peckham Smith
• Samantha Sophia Peckham, APRN FNP-BC PMHNP-BC
• Pecos Medical Group

• 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 Sep 18, 2024; 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.