Lavell Worthy Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

NV20171131610 Issued in NV

Practice address

2113 Sun Ave
Apt B
North Las Vegas, NV 89030-0165

Phone

(702) 957-8550

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spirit of David Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • N Las Vegas, NV
  • NPI 1922548460
  NPD (past) Authorized official

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1811437353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 SUN AVE",
            "address_2": "APT B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890300165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 SUN AVE",
            "address_2": "APT B",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890300165",
            "telephone_number": "702-957-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHY",
        "first_name": "LAVELL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "NV20171131610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Marie Woods
• Stephanie Woods
• Tina Works
• Daniel James Worland, PHARM. D.
• Eddie Wormwood
• Lilli Ann Wosk, MS, CCC-SLP
• Maria Louise Wozniak, QMHA
• WP&H,LLC (Military Medical Supplies)
• Kayli Wrenn
• Wright 1 Solutions

• Behavior Analyst in North Las Vegas, NV
• Providers in North 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 Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.