Organization Active NPI

Life Gateway

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1376977280
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIFE GATEWAY
Practice address
7548 W Sahara Ave
Suite 101
Las Vegas, NV 89117-2778
Phone
(702) 823-2313
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Stacy Thornton
Title
Director
Phone
(702) 823-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X NV Primary

Addresses

Primary practice location

7548 W Sahara Ave
Suite 101
Las Vegas, NV 89117-2778

Mailing address

7548 W Sahara Ave
Suite 101
Las Vegas, NV 89117-2778
Phone (702) 823-2313

National Provider Directory

National Provider Directory
Tax ID family
Life Gateway5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7548 W Sahara Ave
Ste 101
Las Vegas, NV 89117
Phone (702) 776-3489

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1376977280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7548 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172778",
            "telephone_number": "702-823-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7548 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172778",
            "telephone_number": "702-823-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GATEWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-823-2313"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 27, 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.

Verify at the official NPI Registry.