Keystone Development Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEYSTONE DEVELOPMENT CENTER

Practice address

7495 W Azure Dr Ste 203
Las Vegas, NV 89130-4416

Phone

(702) 815-9046

Fax

(702) 815-0745

NPI assigned

Jun 1, 2021

Last updated

Jun 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gabriyelle Gaines, M.ED., M.A.T.NPI 1437726742

Title

President/Director

Phone

(702) 815-9046

Specialties & licenses 7

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriyelle Gaines

  • Assistant Behavior Analyst
  • Las Vegas, NV
  • NPI 1437726742
  NPD Authorized official
• Frank W Brown

  • Pastoral Counselor
  • Las Vegas, NV
  • NPI 1558026096
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1467028324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-815-9046",
            "fax_number": "702-815-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304416",
            "telephone_number": "702-815-9046",
            "fax_number": "702-815-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "GABRIYELLE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "702-815-9046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., M.A.T."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Keys
• Roshika Keys
• Jeffrey Scott Keysar, D.C.
• Eric J Keyser, MD
• Keystone Counseling and Consulting, LLC
• Keystone Prado LLC (Las Vegas Health Clinic)
• KFCM Ventures, LLC (Nevada Prime Hospice)
• Susan Khabbaz
• George Khabro
• Basemmah Khachatryan

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.