Active NPI
Shark M Fiori
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1417689696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64073
- Practice address
- 3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946 - Phone
- (702) 789-5901
- Fax
- (866) 241-4406
- NPI assigned
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-64073 | CA | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-23-64073 | NV | Primary |
Addresses
Primary practice location
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Mailing address
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Phone (702) 789-5901
Other practice location 1
1050 Fulton Ave Ste 235
Sacramento, CA 95825-4299
Phone (559) 770-6096
Other practice location 2
6051 N Fresno St Ste 102
Fresno, CA 93710-5280
Phone (559) 224-9078
Other practice location 3
5325 N Fresno St Ste 106
Fresno, CA 93710-6849
Phone (559) 770-6096
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Minds ABA | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1265277867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1417689696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 HOWARD HUGHES PKWY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891690946",
"telephone_number": "702-789-5901",
"fax_number": "866-241-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 HOWARD HUGHES PKWY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891690946",
"telephone_number": "702-789-5901",
"fax_number": "866-241-4406"
}
],
"practiceLocations": [
{
"address_1": "1050 Fulton Ave Ste 235",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254299",
"country_code": "US",
"telephone_number": "559-770-6096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6051 N Fresno St Ste 102",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105280",
"country_code": "US",
"telephone_number": "559-224-9078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 N Fresno St Ste 106",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937106849",
"country_code": "US",
"telephone_number": "559-770-6096",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIORI",
"first_name": "SHARK",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-27",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-64073",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "1-23-64073",
"primary": true
}
],
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.