Active NPI
Krissanee Holtzclaw
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1376039552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA0316
- Practice address
- 2920 S Rainbow Blvd Ste 180
Las Vegas, NV 89146-6227 - Phone
- (702) 600-0099
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | LBA0316 | NV | Primary |
| Behavior Analyst | 103K00000X | 1-20-42460 | NV |
Addresses
Primary practice location
2920 S Rainbow Blvd Ste 180
Las Vegas, NV 89146-6227
Mailing address
2920 S Rainbow Blvd Ste 180
Las Vegas, NV 89146-6227
Phone (702) 600-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376039552 | Medicaid | NV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA0316 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Path LV LLC | Behavior Analyst | Current | Accepting new patients |
| Adaptive Minds ABA | Behavior Analyst | Past | Accepting new patients |
| Little Lemons Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Henderson, NV
- NPI 1821893579
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1265277867
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1265946925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1376039552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 S RAINBOW BLVD STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466227",
"telephone_number": "702-600-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S RAINBOW BLVD STE 180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466227",
"telephone_number": "702-600-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZCLAW",
"first_name": "KRISSANEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBA0316",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "1-20-42460",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376039552",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Thomas Joseph Holtman, DDS
- Sara Holty
- Frankie June Holtz Davis, MSW, CCDVIII,
- Michael Joseph Holtz, M.D.
- Brittany Holtzclaw
- Nicole Holtzdaw
- Holtzen & Johnson, LTD (Nevada Oral & Facial Surgery)
- Michael William Holtzhauer
- Holy Infant Carin Pediatric Group, PLLC (Milestones Pediatrics)
- Holy Trinity Home Health, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.