Ivan Wayne Patrick Harper

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5302 Spring Canyon St
North Las Vegas, NV 89081-2915

Phone

(702) 758-2413

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Sage Health Services, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1083087266
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1710437827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 SPRING CANYON ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812915",
            "telephone_number": "702-758-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 SPRING CANYON ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890812915",
            "telephone_number": "702-758-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "IVAN",
        "middle_name": "WAYNE PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C'Neshia Hargrove, RBT
• Marie Mae Hargrove
• Sharon T Harmon
• Harmony Family Health LLC.
• Shaun Harnum
• Kim Harper
• Nadia Harper
• Ruben Harper
• Tonya Harper
• Miki Lashawn Harrell

• Behavior Technician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.