Individual provider Active NPI

Cierra Patricia Walling, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1528574365
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0528 Issued in NV
Practice address
3037 E Warm Springs Rd Ste 200-13
Las Vegas, NV 89120-3758
Phone
(702) 900-7179
NPI assigned
Dec 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-000527 AZ
Behavior Technician 106S00000X 60771903 WA
Behavior Analyst 103K00000X LBA0528 NV Primary

Addresses

Primary practice location

3037 E Warm Springs Rd Ste 200-13
Las Vegas, NV 89120-3758

Mailing address

1000 N Green Valley Pkwy # 440-604
Henderson, NV 89074-6170
Phone (702) 900-7179

Other practice location 1

1000 N Green Valley Pkwy # 440-604
Henderson, NV 89074-6170
Phone (702) 900-7179

Other practice location 2

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone (855) 832-6727

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

State licenses

LicenseStateTypeSpecialty
BEH-000527AZMDBehavioral Analyst
LBA0528NVMDBehavioral Analyst
60771903WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Behavior Services, LLC Behavior Analyst CurrentSince Feb 12, 2023 Accepting new patients
Above & Beyond Autism Therapy LLC Behavior Analyst Past Accepting new patients
T.E.a.M. 4 Kids, LLC PastSince Jun 1, 2021 Accepting new patients
Proud Moments ABA of Nevada LLC Behavior Analyst PastSince Jun 22, 2021 Accepting new patients

Locations

1000 N Green Valley Pkwy
#440604
Henderson, NV 89074
Phone (702) 900-7179

Organizations & group practices 4

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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1528574365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N GREEN VALLEY PKWY # 440-604",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746170",
            "telephone_number": "702-900-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 E WARM SPRINGS RD STE 200-13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203758",
            "telephone_number": "702-900-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Green Valley Pkwy # 440-604",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746170",
            "country_code": "US",
            "telephone_number": "702-900-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Coronado Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523977",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLING",
        "first_name": "CIERRA",
        "middle_name": "PATRICIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000527",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "60771903",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2023; 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.