NPIMap

Organization Active NPI

Innovative Behavioral Solutions Inc

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1871975680
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0041 Issued in NV
Legal business name
INNOVATIVE BEHAVIORAL SOLUTIONS INC
Practice address
5828 Spring Mountain Rd Ste 318
Las Vegas, NV 89146-8896
Phone
(702) 485-6705
Fax
(702) 485-6706
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Mr. Richard Joseph Thomson, MA, BCBA, LBA
Title
Secretary, Treasurer
Phone
(702) 485-6705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X LBA0041 NV Primary

Addresses

Primary practice location

5828 Spring Mountain Rd Ste 318
Las Vegas, NV 89146-8896

Mailing address

5828 Spring Mountain Rd Ste 318
Las Vegas, NV 89146-8896
Phone (702) 485-6705

Other identifiers 1

IdentifierTypeStateIssuer
103K00000XMedicaidNV

Other names 1

  • Carpe Diem Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carpe Diem3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1871975680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 SPRING MOUNTAIN RD STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468896",
            "telephone_number": "702-485-6705",
            "fax_number": "702-485-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 SPRING MOUNTAIN RD STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468896",
            "telephone_number": "702-485-6705",
            "fax_number": "702-485-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIORAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SECRETARY, TREASURER",
        "authorized_official_telephone_number": "702-485-6705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K00000X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carpe Diem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2015; 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.