Active NPI
Aleczander Canon Buenaventura, RBT
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1740736206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-16-22929
- Practice address
- 4475 Weitzman PL
Las Vegas, NV 89141-6035 - Phone
- (702) 569-5080
- NPI assigned
- Aug 25, 2016
- Last updated
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-16-22929 | NV | Primary |
Addresses
Primary practice location
4475 Weitzman PL
Las Vegas, NV 89141-6035
Mailing address
4475 Weitzman PL
Las Vegas, NV 89141-6035
Phone (702) 569-5080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-16-22929 | Other | NV | RBT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-22929 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1740736206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4475 WEITZMAN PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891416035",
"telephone_number": "702-569-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4475 WEITZMAN PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891416035",
"telephone_number": "702-569-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENAVENTURA",
"first_name": "ALECZANDER",
"middle_name": "CANON",
"name_prefix": "Mr.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "RBT-16-22929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-16-22929",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.