Celestial Lee Davies, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0655 Issued in NV

Practice address

7390 W Sahara Ave Ste 260
Las Vegas, NV 89117-2765

Phone

(702) 900-4320

NPI assigned

Apr 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Las Vegas Autism Center, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1780107599
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1467984930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W DESERT INN RD APT 2095",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179125",
            "telephone_number": "435-218-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172765",
            "telephone_number": "702-900-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N 1680 E",
            "address_2": "Building A",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902579",
            "country_code": "US",
            "telephone_number": "435-720-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "CELESTIAL",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-16-19565",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396085718",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryder Davidson, MD
• Shala Davidson
• Stephanie Lynn Davidson, DO
• Tamara Davidson
• Andrew Davies
• Erin Davies, NP
• David Davila Matamoro
• Bersy Davila Valero
• Gretzy Davila-Gomez
• Miranda Lyan Davila-Gonzalez

• 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 Oct 13, 2022; 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.