Supa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUPA

Practice address

700 Pyramid Dr
Las Vegas, NV 89107-2168

Phone

(702) 208-8472

NPI assigned

Jul 9, 2011

Organization subpart

No

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

Authorized official

Name

Marlon Carter

Title

Secretary

Phone

(702) 208-8472

Specialties & licenses 1

Addresses

Other names 1

• Saving Under Priviledge Adolescents Doing business as

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1851688956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PYRAMID DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PYRAMID DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072168",
            "telephone_number": "702-208-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-208-8472"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saving Under Priviledge Adolescents",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunshine Valley Health Care-Wesley J. Robertson M.D. Prof. Corp.
• Angela Sunshine, BCBA, LBA
• Sunstar Anesthesiology & Critical Care Consultants PLLC
• Sunstar Optical
• Sunstar Optical, Inc.
• Super Care, LLC
• Super Life Codes Foundation
• Super Sell Enterprises
• Super Youth of Nevada
• Superior Connections

• Behavior Analyst in Las Vegas, NV
• Providers in 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 Jul 9, 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.

Verify at the official NPI Registry.