Angel C Brown, M.S. CLINICAL HEALTH

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

104100000X Issued in NV

Practice address

4425 S Jones Blvd # D3
Las Vegas, NV 89103-3370

Phone

(702) 991-3150

Fax

(866) 658-4052

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Interval LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1326461047
  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1629413638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9764 CORNWALL CROSSING LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476743",
            "telephone_number": "856-340-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD # D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-991-3150",
            "fax_number": "866-658-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANGEL",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.S. CLINICAL HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "104100000X",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Brown
• Andrea Lee Brown, RBT
• Andrea Shirley Brown, PA-C
• Anesha Brown
• Angel Brown
• Annessa Brown
• Anthony Brown
• Antionette Brown
• Antoinne Brown
• Antoniette Brown

• Behavior Analyst in Las Vegas, NV
• Providers in 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 May 7, 2013; 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.