Individual provider Active NPI

Randi Melvin-Brown, BCBA

  • Behavior Analyst
  • Sparks, NV
National Provider Identifier
1750641627
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0065 Issued in NV
Practice address
4894 Sparks Blvd Ste 100
Sparks, NV 89436-8127
Phone
(702) 715-8472
NPI assigned
May 24, 2012
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 01-12-4462 NV
Behavior Analyst 103K00000X LBA0065 NV Primary

Addresses

Primary practice location

4894 Sparks Blvd Ste 100
Sparks, NV 89436-8127

Mailing address

4894 Sparks Blvd Ste 100
Sparks, NV 89436-8127
Phone (702) 715-8472

Other practice location 1

1300 S Arlington St Apt 204
Las Vegas, NV 89104-5857
Phone (702) 715-8472

Other practice location 2

1300 S Arlington St Apt 204
Las Vegas, NV 89104-5857
Phone (702) 715-8472

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
LBA0065NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Behavior LLC Behavior Analyst CurrentSince Dec 1, 2019 Accepting new patients
On Point Behavior LLC Behavior Analyst CurrentSince Dec 1, 2019 Accepting new patients

Locations

4894 Sparks Blvd
Ste 100
Sparks, NV 89436
Phone (702) 715-8472

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1750641627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 SPARKS BLVD STE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368127",
            "telephone_number": "702-715-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4894 SPARKS BLVD STE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368127",
            "telephone_number": "702-715-8472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Arlington St Apt 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891045857",
            "country_code": "US",
            "telephone_number": "702-715-8472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Arlington St Apt 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891045857",
            "country_code": "US",
            "telephone_number": "702-715-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN-BROWN",
        "first_name": "RANDI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "01-12-4462",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.