Individual provider Active NPI

Charlena Mathis

  • Assistant Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1740798818
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
LABA473 Issued in NV
Practice address
4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone
(702) 848-1696
NPI assigned
Jan 11, 2018
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X LABA473 NV Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847

Mailing address

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone (702) 848-1696

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

LicenseStateTypeSpecialty
LABA429NVMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1740798818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "702-848-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "702-848-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CHARLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "LABA473",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2026; 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.