Fly Wheel Center NV LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FLY WHEEL CENTER NV LLC

Practice address

321 W Winnie LN Ste 104
Carson City, NV 89703-2154

Phone

(347) 661-6533

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Shraga F Waxman

Title

Ceo

Phone

(347) 524-8681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1699588285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WHITE ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014054",
            "telephone_number": "347-524-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W WINNIE LN STE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032154",
            "telephone_number": "347-661-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY WHEEL CENTER NV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "SHRAGA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-524-8681"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Carson City, NV
• Providers in Carson City, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.