Individual provider Active NPI

Kristie Lynn Ruesch, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1407710940
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0831 Issued in NV
Practice address
2490 Maverick St
Las Vegas, NV 89108-3824
Phone
(702) 799-1883
Fax
(702) 799-1884
NPI assigned
Dec 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0831 NV Primary

Addresses

Primary practice location

2490 Maverick St
Las Vegas, NV 89108-3824

Mailing address

2490 Maverick St
Las Vegas, NV 89108-3824
Phone (702) 799-1883

Other names 1

  • Kristie Lynn Murtishaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LBA0831NVMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1407710940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083824",
            "telephone_number": "702-799-1883",
            "fax_number": "702-799-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083824",
            "telephone_number": "702-799-1883",
            "fax_number": "702-799-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUESCH",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "MURTISHAW",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 10, 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.