NPIMap

Organization Active NPI

Southern Nevada Behavioral Health Network

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1497031223
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SOUTHERN NEVADA BEHAVIORAL HEALTH NETWORK
Practice address
1100 Meridian Bay Dr
Las Vegas, NV 89128-1625
Phone
(702) 719-9773
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Ms. Monique Harris, LSW
Title
Admin
Phone
(702) 719-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1100 Meridian Bay Dr
Las Vegas, NV 89128-1625

Mailing address

1100 Meridian Bay Dr
Las Vegas, NV 89128-1625
Phone (702) 719-9773

Other identifiers 1

IdentifierTypeStateIssuer
1403862158MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Children First3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1497031223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MERIDIAN BAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281625",
            "telephone_number": "702-719-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MERIDIAN BAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281625",
            "telephone_number": "702-719-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA BEHAVIORAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "702-719-9773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403862158",
            "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 25, 2011; 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.