Community Connect, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COMMUNITY CONNECT, INC.

Practice address

5070 Vegas Valley Dr
# 6201703
Las Vegas, NV 89142-2556

Phone

(702) 290-7086

NPI assigned

Jun 1, 2013

Organization subpart

No

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

Authorized official

Name

Michael Deon Thrower

Title

President / Ceo

Phone

(702) 290-7086

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370044800000",
    "number": "1417394347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 VEGAS VALLEY DR",
            "address_2": "# 6201703",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 VEGAS VALLEY DR",
            "address_2": "# 6201703",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422556",
            "telephone_number": "702-290-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2013-06-01",
        "status": "A",
        "authorized_official_last_name": "THROWER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "702-290-7086"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Las Vegas, NV
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; 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.