Under 1 Umbrella CDC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

UNDER 1 UMBRELLA CDC

Practice address

3851 Pennwood Ave Ste 115
Las Vegas, NV 89102-0431

Phone

(702) 201-5192

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Cedra Perry

Title

Owner

Phone

(702) 201-5192

Specialties & licenses 7

Addresses

Other names 1

• Under 1 Umbrella CDC Former legal business name

Locations

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

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    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1770079311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N RAINBOW BLVD # 54",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071103",
            "telephone_number": "702-201-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PENNWOOD AVE STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020431",
            "telephone_number": "702-201-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER 1 UMBRELLA CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-201-5192"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Under 1 Umbrella CDC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Under 1 Umbrella CDC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Under 1 Umbrella CDC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Oct 3, 2018; 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.