Juanita Nelson-Brown

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MI0415 Issued in NV

Practice address

9044 Rusty Rifle Ave
Las Vegas, NV 89143-1165

Phone

(702) 379-4260

NPI assigned

Mar 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1447644067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9144 RUSTY RIFFLE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-379-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9044 RUSTY RIFLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431165",
            "telephone_number": "702-379-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-BROWN",
        "first_name": "JUANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "MI0415",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejahnae Lanae Nelms
• Todd Nelms
• Alyse Nelsen, DO
• Joshua Nelsen, PMHNP-BC
• Gloria Nelson Larrimore, LMT, MMP
• Shiloh Nelson-Friswold
• Heather Nelson-Lane
• Marcia Nelson-Mason
• Alexander P Nelson, PHYSICAL THERAPIST
• Alexandria Nelson

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.