Individual provider Active NPI

Michael Frank Colianni

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1659018786
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT2765 Issued in NV
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

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
RBT-22-222086NVMDBehavior Technician
RBT2765NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lacuna Autism Services LLC PastSince Oct 1, 2023 Accepting new patients
Center for Autism & Behavior Analysis, LLC PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.