Louis Patrick Coruzzolo, RBT CERTIFIED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0882 Issued in NV

Practice address

5803 W Craig Rd Ste 105
Las Vegas, NV 89130-2537

Phone

(702) 901-5200

NPI assigned

Nov 17, 2020

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Behavioral Connections LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1750754107
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1962005587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 RUMRILL ST UNIT 129",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891137106",
            "telephone_number": "702-818-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 W CRAIG RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302537",
            "telephone_number": "702-901-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUZZOLO",
        "first_name": "LOUIS",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "RBT CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yssel Tarra Cortez, RN, MSN
• Zarah Mae Cortez, PT, DPT
• Maria Gabriela Corti Mateo
• Reynel Cortina Cabrera
• Aylin De Las Mercedes Cortina Fernandez
• Hayley Corwin
• Cory Nichols, DO, PC
• Cory Place Care Home LLC
• Cory T Steed O D Prof Corp
• Dioselina Corza

• 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 Feb 12, 2025; 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.