Individual provider Active NPI

Brianna Marcell Kuznetsov

  • Behavior Analyst
  • North Las Vegas, NV
National Provider Identifier
1467084954
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51759 Issued in AL
Practice address
1026 Cove Palisades Dr
North Las Vegas, NV 89031-6618
Phone
(210) 305-0203
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Behavior Analyst 103K00000X 1-21-51759 AL Primary

Addresses

Primary practice location

1026 Cove Palisades Dr
North Las Vegas, NV 89031-6618

Mailing address

1026 Cove Palisades Dr
North Las Vegas, NV 89031-6618
Phone (210) 305-0203

Other practice location 1

120 Northern Pine Rd
Fort Walton Beach, FL 32547-1121
Phone (210) 305-0203

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1467084954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 COVE PALISADES DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316618",
            "telephone_number": "210-305-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 COVE PALISADES DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890316618",
            "telephone_number": "210-305-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Northern Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471121",
            "country_code": "US",
            "telephone_number": "210-305-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZNETSOV",
        "first_name": "BRIANNA",
        "middle_name": "MARCELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-21-51759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.