Victoria Kylee Peckham Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6363 S Pecos Rd Ste 206
Las Vegas, NV 89120-6293

Phone

(702) 850-2691

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Center for Autism & Behavior Analysis, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1447600143

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1346802501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S NELLIS BLVD APT 2032",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217775",
            "telephone_number": "916-993-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 S PECOS RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206293",
            "telephone_number": "702-850-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM SMITH",
        "first_name": "VICTORIA",
        "middle_name": "KYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Peck
• Michael Peck
• Nichol Peck, BCBA
• Skyler Peck
• Steven D. Peck, D,C
• Samantha Sophia Peckham, APRN FNP-BC PMHNP-BC
• Pecos Medical Group
• Pecos Surgery Center LLC
• Froilan Pecson
• Pedaitric Dental Associates

• 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 Jul 12, 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.