Richelle Riddick

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0796 Issued in NV

Practice address

3035 S Jones Blvd Ste 1
Las Vegas, NV 89146-6766

Phone

(702) 829-1021

Fax

(725) 240-7727

NPI assigned

May 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moving Mountains BX LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1497329221
  NPD

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1750768230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466766",
            "telephone_number": "702-829-1021",
            "fax_number": "725-240-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466766",
            "telephone_number": "702-829-1021",
            "fax_number": "725-240-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-15-02785",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Rico
• Lupa Rico
• Riddhey LLC
• Marilyn Louise Riddick
• Myia Alecia Riddick
• Dasiana Y Riddle
• Hailey Riddle
• India Riddle, CNA
• Jacqueline Riddle
• Melissa Riddle

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.