Nyetta Shanee Abernathy, M.ED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56396 Issued in NV

Practice address

630 S Rancho Dr Ste a
Las Vegas, NV 89106-4849

Phone

(702) 998-9505

Fax

(702) 527-7939

NPI assigned

May 8, 2011

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Learning Therapies

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1275300113
  NPD Authorized official

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

{
    "created_epoch": "1304812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1508158635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SALMON CREEK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296186",
            "telephone_number": "702-526-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RANCHO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064849",
            "telephone_number": "702-998-9505",
            "fax_number": "702-527-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 W Cheyenne Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890324329",
            "country_code": "US",
            "telephone_number": "702-646-7570",
            "fax_number": "702-974-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "NYETTA",
        "middle_name": "SHANEE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-08",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-20-110527",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-21-56396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Abercrombia
• Tanaya Lynn Abercrombia
• Lauren Abercrombie
• Cassaundra Abernathy
• Clifford Abernathy
• Tryna Latethia Abernathy
• Vertanya Abernathy
• Ranisha Aberry
• Alexander Ramo Abesamis, APRN-RX
• Abet Counseling Associates

• 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 Feb 3, 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.