Individual provider Active NPI

Christian Ipalari Rafanan, AA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1821986522
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB1306531 Issued in NV
Practice address
4040 S Eastern Ave Ste 180
Las Vegas, NV 89119-0809
Phone
(702) 848-1696
NPI assigned
Jun 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB1306531 NV Primary

Addresses

Primary practice location

4040 S Eastern Ave Ste 180
Las Vegas, NV 89119-0809

Mailing address

4000 S Eastern Ave Ste 240
Las Vegas, NV 89119-0847
Phone (702) 848-1696

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
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
BACB1306531NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mingo Health Solutions, LLC PastSince Jun 29, 2025 Accepting new patients
Mingo Health Solutions Past Accepting new patients
Mingo Health Solutions 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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1821986522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S EASTERN AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190847",
            "telephone_number": "702-848-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190809",
            "telephone_number": "702-848-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFANAN",
        "first_name": "CHRISTIAN",
        "middle_name": "IPALARI",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "BACB1306531",
            "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 Jun 24, 2025; 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.