Organization Active NPI

Applied Behavior Analysis Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1548983760
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.
Practice address
408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone
(702) 502-8021
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Dennis Gardner, PHD
Title
Licensed Psychologist
Phone
(725) 225-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

408 S Jones Blvd
Las Vegas, NV 89107-2658

Mailing address

408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 502-8021

Other identifiers 1

IdentifierTypeStateIssuer
1780815191OtherNVNPI

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavior Analysis Institute Inc3 organizations share this tax ID, including this one
Part of
Applied Behavior Analysis Institute Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1548983760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072658",
            "telephone_number": "702-502-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072658",
            "telephone_number": "702-502-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLIED BEHAVIOR ANALYSIS INSTITUTE, INC.",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "725-225-8107",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780815191",
            "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 Sep 22, 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.