Individual provider Active NPI

Mildred Mijares

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1437741501
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone
(702) 291-7121
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 Primary

Addresses

Primary practice location

5412 Boulder Hwy
Las Vegas, NV 89122-6039

Mailing address

180 Macoby Run St
Las Vegas, NV 89148-2628

Other practice location 1

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

Other practice location 2

850 Mill St Ste 100
Reno, NV 89502-1463
Phone (775) 538-6700

Other practice location 3

315 Record St Ste 100
Reno, NV 89512-3327
Phone (775) 405-4111

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1437741501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MACOBY RUN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226039",
            "telephone_number": "702-291-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021829",
            "country_code": "US",
            "telephone_number": "702-971-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Mill St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021463",
            "country_code": "US",
            "telephone_number": "775-538-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Record St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895123327",
            "country_code": "US",
            "telephone_number": "775-405-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "MILDRED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Feb 9, 2021; 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.