Kristin Mellinger, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28204 Issued in NV

Practice address

2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119-5190

Phone

(702) 270-3219

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Mellinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Southwest Autism & Behavioral Solutions

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1497168744
  NPD (past)
• Southwest Autism & Behavioral Solutions, LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1336464460
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1710244611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-270-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-17-28204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MELLINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sofya Melkonyan
• Milena Melkumiani
• Daimaris Mella Perez
• Jay Dee Mellette, ATC
• Broderick Wayne Melling, DMD
• Raymond John Mellinger, PT, DPT
• Melliti Medical Group PLLC
• Jenessia Marie Melliti, APRN-BC
• Saifallah Melliti
• Stephanie L Mello, APRN, PMHNP

• 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 Feb 2, 2018; 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.