Individual provider Active NPI

Bryan Lamont Ward

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1417885500
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
6480 Issued in NV
Practice address
4285 N Rancho Dr Ste 110
Las Vegas, NV 89130-3447
Phone
(702) 820-8891
NPI assigned
May 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 6480 NV Primary

Addresses

Primary practice location

4285 N Rancho Dr Ste 110
Las Vegas, NV 89130-3447

Mailing address

4555 Camino Al Norte Unit 3127
North Las Vegas, NV 89031-2435
Phone (702) 820-8891

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

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1417885500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 CAMINO AL NORTE UNIT 3127",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312435",
            "telephone_number": "702-820-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303447",
            "telephone_number": "702-820-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BRYAN",
        "middle_name": "LAMONT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "6480",
            "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 May 11, 2026; 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.