Individual provider Active NPI

Domnick Anthony Colianni

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1477958817
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9788 Gilespie St Ste 420
Las Vegas, NV 89183-7611
Phone
(702) 778-3527
Fax
(702) 778-3016
NPI assigned
Oct 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

9788 Gilespie St Ste 420
Las Vegas, NV 89183-7611

Mailing address

9788 Gilespie St Ste 420
Las Vegas, NV 89183-7611
Phone (702) 778-3527

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1477958817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 GILESPIE ST STE 420",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837611",
            "telephone_number": "702-778-3527",
            "fax_number": "702-778-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 GILESPIE ST STE 420",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837611",
            "telephone_number": "702-778-3527",
            "fax_number": "702-778-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIANNI",
        "first_name": "DOMNICK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "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 Oct 28, 2014; 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.