Individual provider Active NPI

Luis Adrian Trujillo Roman

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1528565769
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-56907 Issued in NV
Practice address
5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone
(702) 877-2520
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-15-04244
Behavior Analyst 103K00000X 1-21-56907 NV Primary

Addresses

Primary practice location

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137

Mailing address

5550 W Flamingo Rd Ste C5
Las Vegas, NV 89103-0137
Phone (702) 877-2520

Other names 1

  • Luis Adrian Trujillo Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Lovaas Center for Behavior Intervention, Inc. Past Accepting new patients
Leapfrog ABA LV 1 LLC Behavior Analyst Past Accepting new patients
The Lovaas Center for Behavior Intervention Past Accepting new patients

Organizations & group practices 3

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1528565769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE C5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030137",
            "telephone_number": "702-877-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE C5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030137",
            "telephone_number": "702-877-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO ROMAN",
        "first_name": "LUIS",
        "middle_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-15-04244",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-21-56907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "TRUJILLO",
            "middle_name": "ADRIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 1, 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.