Individual provider Active NPI

Alyssa Moody, BCBA, LBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1487204418
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0624 Issued in NV
Practice address
7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753
Phone
(702) 427-3825
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 LBA0624 NV Primary

Addresses

Primary practice location

7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753

Mailing address

7730 W Sahara Ave Ste 115
Las Vegas, NV 89117-2753
Phone (702) 427-3825

Other identifiers 2

IdentifierTypeStateIssuer
1-22-57773OtherNVBACB
LBA0624OtherNVSTATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS

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

State licenses

LicenseStateTypeSpecialty
LBA0624NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Autism Center LLC Behavior Analyst Current Accepting new patients
Autism Care West LLC Behavior Analyst PastSince Sep 21, 2025 Accepting new patients

Locations

7730 W Sahara Ave
Ste 115
Las Vegas, NV 89117
Phone (702) 660-2005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1487204418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172753",
            "telephone_number": "702-427-3825",
            "fax_number": "512-260-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W SAHARA AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172753",
            "telephone_number": "702-427-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ALYSSA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-10-17",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-22-57773",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA BOARD OF APPLIED BEHAVIOR ANALYSIS",
            "identifier": "LBA0624",
            "state": "NV"
        }
    ],
    "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 17, 2023; 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.