Genesis Program LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GENESIS PROGRAM LLC

Practice address

800 N Rainbow Blvd Ste 212
Las Vegas, NV 89107-1189

Phone

(702) 948-5020

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alese L Farrow

Title

Managing Employee

Phone

(702) 948-5020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1922814169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071189",
            "telephone_number": "702-948-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071189",
            "telephone_number": "702-948-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "ALESE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "702-948-5020"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Integrated Medicine
• Genesis Medical Center LLC
• Genesis Medical Clinic LLC
• Genesis New Beginnings LLC
• Genesis New Beginnings LLC
• Genesis Rehab
• Genesis Rehab Services
• Genesis Solutions LLC
• Genesis Wound Care of Las Vegas, LLC
• Ariana Genilla

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.