NPI 1255811683 · live from the CMS NPI Registry
Shakeemia Shameece Anifowoshe
Behavior Analyst in N Las Vegas, NV. National Provider Identifier 1255811683, active.
NPI record
| NPI | 1255811683 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5552 Mesquite Creek St, N Las Vegas, NV 89031 |
| Practice phone | 702-703-9788 |
| Mailing address | 4832 Mahogany Dr, Las Vegas, NV 89110 |
| Enumerated | August 15, 2018 |
| Last updated | May 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Specialist | 174400000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.