Active NPI
Your Choice Behavior
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1801176839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUR CHOICE BEHAVIOR
- Practice address
- 3785 E Sunset Rd # a-10
Las Vegas, NV 89120-6259 - Phone
- (702) 985-2345
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Clarke
- Title
- Owneradministrator Director
- Phone
- (702) 985-2345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3785 E Sunset Rd # a-10
Las Vegas, NV 89120-6259
Mailing address
3785 E Sunset Rd # a-10
Las Vegas, NV 89120-6259
Phone (702) 985-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316279185 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
3785 E Sunset Rd
#A10
Las Vegas, NV 89120
Phone (702) 985-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1801176839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 E SUNSET RD # A-10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206259",
"telephone_number": "702-985-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 E SUNSET RD # A-10",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891206259",
"telephone_number": "702-985-2345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR CHOICE BEHAVIOR",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OWNERADMINISTRATOR DIRECTOR",
"authorized_official_telephone_number": "702-985-2345",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316279185",
"state": "NV"
}
],
"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 Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.