NPIMap

Organization Active NPI

Autism Therapy Centers LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1871053231
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM THERAPY CENTERS LLC
Practice address
2055 W Charleston Blvd Ste C
Las Vegas, NV 89102-2258
Phone
(702) 423-2625
NPI assigned
Mar 21, 2019
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Daniece Kern, BCBA
Title
Director/Provider
Phone
(702) 423-2625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2055 W Charleston Blvd Ste C
Las Vegas, NV 89102-2258

Mailing address

2055 W Charleston Blvd Ste C
Las Vegas, NV 89102-2258
Phone (702) 423-2625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1871053231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 W CHARLESTON BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022258",
            "telephone_number": "702-423-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W CHARLESTON BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022258",
            "telephone_number": "702-423-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "DANIECE",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "702-423-2625",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 13, 2022; 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.