Individual provider Active NPI

Giovanna Desimone

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1780116491
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB377281 Issued in NV
Practice address
5755 S Rainbow Blvd Ste 102
Las Vegas, NV 89118-2535
Phone
(321) 443-9191
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-33494 NV
Behavior Analyst 103K00000X BACB377281 NV Primary

Addresses

Primary practice location

5755 S Rainbow Blvd Ste 102
Las Vegas, NV 89118-2535

Mailing address

3940 West Ann Rd. Ste 100
Las Vegas, NV 89130
Phone (702) 820-8891

Other practice location 1

2110 E Flamingo Rd Ste 150
Las Vegas, NV 89119-5190
Phone (702) 270-3219

Other practice location 2

3940 West Ann Rd. Ste 100
Las Vegas, NV 89130
Phone (702) 820-8891

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
BACB377281NVMDBehavioral Analyst
RBT-17-33494NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lemons Therapy LLC Behavior Analyst PastSince Jun 1, 2021 Accepting new patients
Southwest Autism & Behavioral Solutions Behavior Analyst Past Accepting new patients
Southwest Autism & Behavioral Solutions, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1780116491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 WEST ANN RD. STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89130",
            "telephone_number": "702-820-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182535",
            "telephone_number": "321-443-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 E Flamingo Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195190",
            "country_code": "US",
            "telephone_number": "702-270-3219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3940 West Ann Rd. Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89130",
            "country_code": "US",
            "telephone_number": "702-820-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "GIOVANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-17-33494",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "BACB377281",
            "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 6, 2020; 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.