Active NPI
Lamar Sudduth, N/A
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1770827032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000056399
- Practice address
- 10053 Solid Lime St
Las Vegas, NV 89183-7215 - Phone
- (702) 496-4344
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- 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 | 000056399 | NV | Primary |
Addresses
Primary practice location
10053 Solid Lime St
Las Vegas, NV 89183-7215
Mailing address
10053 Solid Lime St
Las Vegas, NV 89183-7215
Phone (702) 496-4344
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 |
|---|---|---|---|
| 000056399 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1770827032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10053 SOLID LIME ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837215",
"telephone_number": "702-496-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10053 SOLID LIME ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837215",
"telephone_number": "702-496-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "LAMAR",
"credential": "N/A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "000056399",
"primary": true
}
],
"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 Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.