NPIMap

Organization Active NPI

Proactive Autism Solutions, Inc.

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1619380581
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0042 Issued in NV
Legal business name
PROACTIVE AUTISM SOLUTIONS, INC.
Practice address
6767 W Charleston Blvd
Ste. 150
Las Vegas, NV 89146-9073
Phone
(760) 291-7160
NPI assigned
Jun 8, 2014
Last updated
Jun 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

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

Authorized official

Name
Angela Patricelli, BCBA, LBA
Title
President and Director of Company
Phone
(760) 291-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0042 NV Primary

Addresses

Primary practice location

6767 W Charleston Blvd
Ste. 150
Las Vegas, NV 89146-9073

Mailing address

6767 W Charleston Blvd
Ste. 150
Las Vegas, NV 89146-9073
Phone (760) 291-7160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402185600000",
    "number": "1619380581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W CHARLESTON BLVD",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469073",
            "telephone_number": "760-291-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W CHARLESTON BLVD",
            "address_2": "STE. 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469073",
            "telephone_number": "760-291-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE AUTISM SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A",
        "authorized_official_last_name": "PATRICELLI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR OF COMPANY",
        "authorized_official_telephone_number": "760-291-7160",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0042",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2014; 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.