James Timothy Church, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0080 Issued in NV

Practice address

7391 W Charleston Blvd # 150
Las Vegas, NV 89117-1577

Phone

(702) 396-0101

Fax

(702) 222-0212

NPI assigned

Jan 24, 2013

Sex

Male

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

State licenses

Practice roles

Locations

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.

• Functional Behavior Institute

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1134711393
  NPD Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1669710646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 PALM PINNACLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395682",
            "telephone_number": "307-575-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD # 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-396-0101",
            "fax_number": "702-222-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaneisha Chunn
• Alexander Chupa
• Sophia Chura
• Cody Church, DPT
• Desaray Mae Church, RBT
• Vlanna Nicole Church
• David C Churchill, CPCI
• Johnette Churchwell
• Linda Churchwell, APN
• Churchwright Inc

• 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 31, 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.