NPIMap

Organization Active NPI

Crossroads Behavior Consultation LLC

Doing business as Crossroads

  • Behavior Analyst
  • Elko, NV
National Provider Identifier
1730497215
Registry record updated Sep 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CROSSROADS BEHAVIOR CONSULTATION LLC
Doing business as
Crossroads
Practice address
512 Commercial St
Elko, NV 89801-3741
Phone
(775) 934-5810
NPI assigned
Sep 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2010

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

Authorized official

Name
Mrs. Michelle Renee CanningNPI 1356624514
Title
Bcba
Phone
(775) 934-5810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

512 Commercial St
Elko, NV 89801-3741

Mailing address

PO Box 1193
Elko, NV 89803-1193
Phone (775) 934-5810

Other names 1

  • Crossroads Doing business as

National Provider Directory

National Provider Directory

Locations

512 Commercial St
Elko, NV 89801
Phone (775) 934-5810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284854400000",
    "number": "1730497215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898031193",
            "telephone_number": "775-934-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COMMERCIAL ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013741",
            "telephone_number": "775-934-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS BEHAVIOR CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-19",
        "last_updated": "2010-09-19",
        "status": "A",
        "authorized_official_last_name": "CANNING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "775-934-5810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2010; 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.