Active NPI
Community Alliance Network and Development Outreach
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1619351244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 200137-320
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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.
National Provider Directory
National Provider DirectoryNPI 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
- Committed 100 Men Helping Boys (Rising Stars Behavioral Health)
- Tasha Commodore
- Communidad Hispana Counseling Services, LLC
- Communities in Schools of Nevad (Future Smiles)
- Community Access Network LLC
- Community Alliance Network and Developmental Outreach (Cando)
- Community Benefits Consortium, Inc. (Alternate Home Solutions)
- Community Care Health Plan of Nevada, Inc. (Anthem Blue Cross and Blue Shield Healthcare Solutions)
- Community Care Hospice
- Community Chiropractic LLC
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.