Active NPI
Alexandra Dumitru
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1871009753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679 - Phone
- (702) 369-0101
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-36903 | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679
Mailing address
2405 Tottingham Rd
Henderson, NV 89074-6308
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1871009753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 TOTTINGHAM RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 W CHARLESTON BLVD STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171679",
"telephone_number": "702-369-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMITRU",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-17-36903",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"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 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.