Active NPI
Reavous J Thomas
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1346682366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 100 S Martin Luther King Blvd
2133
Las Vegas, NV 89106-4314 - Phone
- (702) 601-8791
- NPI assigned
- Jul 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
100 S Martin Luther King Blvd
2133
Las Vegas, NV 89106-4314
Mailing address
100 S Martin Luther King Blvd
2133
Las Vegas, NV 89106-4314
Phone (702) 601-8791
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": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1346682366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S MARTIN LUTHER KING BLVD",
"address_2": "2133",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064314",
"telephone_number": "702-601-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S MARTIN LUTHER KING BLVD",
"address_2": "2133",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064314",
"telephone_number": "702-601-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "REAVOUS",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.