Organization Active NPI

Nevada Autism Center LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1386391050
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEVADA AUTISM CENTER LLC
Practice address
7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753
Phone
(702) 660-2005
Fax
(702) 660-2005
NPI assigned
Mar 3, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Vladimir Kogan
Title
Owner
Phone
(646) 598-7765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753

Mailing address

7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753
Phone (702) 660-2005

National Provider Directory

National Provider Directory

Locations

629 S 6th St
Las Vegas, NV 89101

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1386391050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172753",
            "telephone_number": "702-660-2005",
            "fax_number": "702-660-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172753",
            "telephone_number": "702-660-2005",
            "fax_number": "702-660-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-598-7765"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "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 25, 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.