Organization Active NPI

Kimberton LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1386472363
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIMBERTON LLC
Practice address
2700 Chandler Ave BLDG B
Las Vegas, NV 89120-4028
Phone
(702) 321-8711
Fax
(702) 509-5396
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Kevin Guan
Title
Ceo
Phone
(702) 321-8711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

2700 Chandler Ave BLDG B
Las Vegas, NV 89120-4028

Mailing address

9001 Laurel Creek St
Las Vegas, NV 89166-6674
Phone (702) 321-8711

National Provider Directory

National Provider Directory

Locations

2700 Chandler Ave
Bldg B
Las Vegas, NV 89120
Phone (702) 321-8711

2700 Chandler Ave
Las Vegas, NV 89120

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1386472363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 LAUREL CREEK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666674",
            "telephone_number": "702-321-8711",
            "fax_number": "702-509-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CHANDLER AVE BLDG B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204028",
            "telephone_number": "702-321-8711",
            "fax_number": "702-509-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "GUAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-321-8711"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 19, 2025; 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.