Douglas Cordova

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1101 W Moana LN
Reno, NV 89509-4775

Phone

(775) 337-2394

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1871868604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 BLACK CINDER CT",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367019",
            "telephone_number": "775-412-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-337-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Joanna Cord, RN
• Andrea Jean Cordell, APRN
• Krystle Mae Cordero
• Melissa Cordova Segoviano, CADC-I
• Cristobal E Cordova, DPT
• Jocelyn Cordova
• Magdalena Cordova
• Kimberly Corey
• Corinthian Place LLC
• Corinthian Place South LLC (Residential Facility For Groups)

• Behavior Analyst in Reno, NV
• Providers in Reno, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.