Individual provider Active NPI

Damian Baum

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1871248138
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT2687 Issued in NV
Practice address
5765 S Rainbow Blvd Ste 101-102
Las Vegas, NV 89118-2536
Phone
(702) 412-8578
NPI assigned
Feb 15, 2022
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT2687 NV Primary

Addresses

Primary practice location

5765 S Rainbow Blvd Ste 101-102
Las Vegas, NV 89118-2536

Mailing address

9950 W Tropicana Ave Apt 2104
Las Vegas, NV 89147-8547

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

State licenses

LicenseStateTypeSpecialty
RBT2687NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lemons Therapy LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

5765 S Rainbow Blvd
Ste 101102
Las Vegas, NV 89118
Phone (702) 412-8578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1871248138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 W TROPICANA AVE APT 2104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 S RAINBOW BLVD STE 101-102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182536",
            "telephone_number": "702-412-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "DAMIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT2687",
            "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 Mar 13, 2024; 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.