Individual provider Active NPI

Jeffrey Ryan Laroza Calaro

  • Behavior Analyst
  • Henderson, NV
National Provider Identifier
1669818555
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2900 Sunridge Heights Pkwy
#1536
Henderson, NV 89052-4470
Phone
(808) 392-6073
NPI assigned
May 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2900 Sunridge Heights Pkwy
#1536
Henderson, NV 89052-4470

Mailing address

2900 Sunridge Heights Pkwy
#1536
Henderson, NV 89052-4470
Phone (808) 392-6073

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

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1669818555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SUNRIDGE HEIGHTS PKWY",
            "address_2": "#1536",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524470",
            "telephone_number": "808-392-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SUNRIDGE HEIGHTS PKWY",
            "address_2": "#1536",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524470",
            "telephone_number": "808-392-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALARO",
        "first_name": "JEFFREY RYAN",
        "middle_name": "LAROZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.