Osom Behavior Management

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20101771798 Issued in NV

Legal business name

OSOM BEHAVIOR MANAGEMENT

Practice address

2616 Slide Canyon Ave
North Las Vegas, NV 89081

Phone

(702) 981-0391

NPI assigned

Jul 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Wallace E. Harris II, MS ED.

Title

Ceo/Psychosocial Rehabilitative Spe

Phone

(702) 981-0391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1386922136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SLIDE CANYON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-981-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SLIDE CANYON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-981-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSOM BEHAVIOR MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PSYCHOSOCIAL REHABILITATIVE SPE",
        "authorized_official_telephone_number": "702-981-0391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MS ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20101771798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Jacob Ortiz, O.D.
• Louis Ortiz
• Azsa Osborne
• Elizabeth Ann Osborne
• Kofoworola Deon Oso
• Yennis Osoria Cruz
• Shelley Osorio
• Steven L. Oster, MA, MFT
• Kerry Otero, PHARMD
• Charles Ottey Jr.

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.