Simple Behavior Solutions

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00106 Issued in NV

Legal business name

SIMPLE BEHAVIOR SOLUTIONS

Practice address

2151 Village Walk Dr
Henderson, NV 89012-5734

Phone

(951) 905-8652

Fax

(951) 905-8652

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Krystal Van Voorhis, MS, BCBA, LBA

Title

Owner

Phone

(951) 905-8652

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1639694375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 VILLAGE WALK DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125734",
            "telephone_number": "951-905-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 VILLAGE WALK DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125734",
            "telephone_number": "951-905-8652",
            "fax_number": "951-905-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "VAN VOORHIS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-905-8652",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA00106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518404094",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.