Sirivireeo Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

NV20121758406 Issued in NV

Practice address

2020 Pinto LN
Las Vegas, NV 89106-4019

Phone

(702) 868-2901

NPI assigned

Apr 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1508390949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 SANTA CLARITA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064019",
            "telephone_number": "702-868-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIRIVIREEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "NV20121758406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Shounta Smith
• Shumonic Smith
• Shwaynea Lynette Smith
• Shyra Smith
• Siri Alexandra Smith, RBT
• Sonya Denice Smith
• Stacey Ann Smith, M.S.
• Starre Smith
• Stephanie Smith
• Steven Smith Jr.

• 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 Apr 12, 2017; 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.