Individual provider Active NPI

Emma C Siy, LBA, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1548769375
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-36168 Issued in NV
Practice address
7995 Blue Diamond Rd Ste 102
#304
Las Vegas, NV 89178-9408
Phone
(702) 848-6070
Fax
(702) 723-2118
NPI assigned
Feb 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-36168 NV Primary

Addresses

Primary practice location

7995 Blue Diamond Rd Ste 102
#304
Las Vegas, NV 89178-9408

Mailing address

7995 Blue Diamond Rd Ste 102
#304
Las Vegas, NV 89178-9408
Phone (702) 848-6070

Other identifiers 1

IdentifierTypeStateIssuer
1-19-36168OtherNVBEHAVIOR ANALYST CERTIFICATION BOARD

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
Aloha Behavioral Center Behavior Analyst CurrentSince Nov 1, 2021 Accepting new patients

Locations

7995 Blue Diamond Rd
Ste 102
Las Vegas, NV 89178
Phone (702) 848-6070

Organizations & group practices 1

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1548769375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 BLUE DIAMOND RD STE 102",
            "address_2": "#304",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789408",
            "telephone_number": "702-848-6070",
            "fax_number": "702-723-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7995 BLUE DIAMOND RD STE 102",
            "address_2": "#304",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789408",
            "telephone_number": "702-848-6070",
            "fax_number": "702-723-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIY",
        "first_name": "EMMA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-19-36168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-19-36168",
            "state": "NV"
        }
    ],
    "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 May 11, 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.