Active NPI
The Northern Light, LLC
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1376377119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- THE NORTHERN LIGHT, LLC
- Practice address
- 10357 Toasted Acorn Dr
Las Vegas, NV 89166-8083 - Phone
- (702) 757-4043
- Fax
- (702) 602-0482
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Eiland
- Title
- Executive Director of Operations
- Phone
- (702) 757-4043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
10357 Toasted Acorn Dr
Las Vegas, NV 89166-8083
Mailing address
10357 Toasted Acorn Dr
Las Vegas, NV 89166-8083
Phone (702) 757-4043
Other names 1
- The Northern Light, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1376377119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10357 TOASTED ACORN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891668083",
"telephone_number": "702-757-4043",
"fax_number": "702-602-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10357 TOASTED ACORN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891668083",
"telephone_number": "702-757-4043",
"fax_number": "702-602-0482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NORTHERN LIGHT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "EILAND",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "702-757-4043"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Northern Light, LLC",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.