Southwest Autism & Behavioral Solutions

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

04072014 Issued in NV

Legal business name

SOUTHWEST AUTISM & BEHAVIORAL SOLUTIONS

Practice address

2700 E Sunset Rd
24
Las Vegas, NV 89120-3506

Phone

(702) 270-3219

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Fessenden, BCBA-D

Title

Owner

Phone

(702) 499-7502

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1497168744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E SUNSET RD",
            "address_2": "24",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203506",
            "telephone_number": "702-270-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E SUNSET RD",
            "address_2": "24",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203506",
            "telephone_number": "702-270-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AUTISM & BEHAVIORAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "FESSENDEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-499-7502",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "04072014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CABI",
            "identifier": "04072014",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Nevada Youth Services
• Thongxay Southisene, D.C.
• John Southland
• David Southwell
• Linda Southwell
• Southwest Autism & Behavioral Solutions
• Southwest Autism & Behavioral Solutions, LLC
• Southwest Behavioral Health Services
• Southwest Dermatology Institute LTD
• Southwest DME Inc.

• 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 Jun 4, 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.