Organization Active NPI

Community Alliance Network and Development Outreach

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1619351244
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
200137-320 Issued in NV
Legal business name
COMMUNITY ALLIANCE NETWORK AND DEVELOPMENT OUTREACH
Practice address
2770 S Maryland Pkwy Ste 211
Las Vegas, NV 89109-1565
Phone
(702) 675-3400
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Ms. Concepcion Annunzio, ACREDITED
Title
Community Health Worker
Phone
(702) 675-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 200137-320 NV Primary

Addresses

Primary practice location

2770 S Maryland Pkwy Ste 211
Las Vegas, NV 89109-1565

Mailing address

2770 S Maryland Pkwy Ste 211
Las Vegas, NV 89109-1565
Phone (702) 675-3400

Other names 1

  • WHAM INC. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1619351244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-675-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091565",
            "telephone_number": "702-675-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ALLIANCE NETWORK AND DEVELOPMENT OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIO",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_title_or_position": "COMMUNITY HEALTH WORKER",
        "authorized_official_telephone_number": "702-675-6403",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACREDITED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "200137-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHAM INC.",
            "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 Jul 14, 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.