Allea Walters, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62177 Issued in NV

Practice address

1091 S Cimarron Rd Ste A4
Las Vegas, NV 89145-2445

Phone

(702) 339-5565

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reset Behavior LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1841800554
  NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1407451933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 AMERICAN EAGLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313252",
            "telephone_number": "702-339-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S CIMARRON RD STE A4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452445",
            "telephone_number": "702-339-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ALLEA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-20-142580",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-22-62177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Walter, M.D.
• George Walter
• Heidi Mara Walter, M.D.
• Jessica Regina Walter, O.M.D.
• Ciana Jaide Walters-Thomas
• Alton J Walters, MD
• Antonio Walters
• Caitlyn Walters, DO
• Carol Elaine Walters, R.N.
• Carrie Walters, MPT

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.