Pedro Gino Passalacqua

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3105 Coleman St
B
North Las Vegas, NV 89032-3807

Phone

(702) 202-2567

Fax

(702) 202-6919

NPI assigned

Oct 31, 2013

Last updated

Oct 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1578991485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST",
            "address_2": "1-363",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-202-2567",
            "fax_number": "702-202-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 COLEMAN ST",
            "address_2": "B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323807",
            "telephone_number": "702-202-2567",
            "fax_number": "702-202-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSALACQUA",
        "first_name": "PEDRO",
        "middle_name": "GINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalin Marie Pascacio-Bayles
• Rolando Avila Pasignajen, M.D.
• Adriana Pasillas
• Richard Andrew Pass Jr., OTD, OTR/L
• Cristina Passalacqua
• Passion Medical Associates Inc
• Passport to Independence LLC
• Michael Gene Patane
• Debra J Pate, M.S., C.T.R.S.
• Arbaaz Patel

• Behavior Analyst in North Las Vegas, NV
• Providers in North 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 Oct 26, 2015; 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.