Active NPI
Michael Frank Colianni
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1659018786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT2765
- Practice address
- 1127 S Rancho Dr Ste 170
Las Vegas, NV 89102-2216 - Phone
- (888) 611-0870
- Fax
- (888) 714-4996
- NPI assigned
- May 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT2765 | NV | Primary |
| Behavior Technician | 106S00000X | RBT-22-222086 | NV |
Addresses
Primary practice location
1127 S Rancho Dr Ste 170
Las Vegas, NV 89102-2216
Mailing address
830 Tenderfoot Hill Rd Ste 100
Colorado Springs, CO 80906-7372
Phone (888) 611-0870
Other names 1
- Michael Calara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-222086 | NV | MD | Behavior Technician |
| RBT2765 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacuna Autism Services LLC | Past | Accepting new patients | |
| Center for Autism & Behavior Analysis, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1447600143
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1689262453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1659018786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 TENDERFOOT HILL RD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067372",
"telephone_number": "888-611-0870",
"fax_number": "888-714-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 S RANCHO DR STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022216",
"telephone_number": "888-611-0870",
"fax_number": "888-714-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLIANNI",
"first_name": "MICHAEL",
"middle_name": "FRANK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-19",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT2765",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-22-222086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "CALARA",
"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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.