Active NPI
Kimberton LLC
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1386472363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.