NPI 1508158635 · live from the CMS NPI Registry
Nyetta Shanee Abernathy, M.Ed, BCBA, LBA
Behavior Analyst in Las Vegas, NV. National Provider Identifier 1508158635, active.
NPI record
| NPI | 1508158635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 630 S Rancho Dr Ste A, Las Vegas, NV 89106 |
| Practice phone | 702-998-9505 |
| Mailing address | 3320 Salmon Creek Dr, Las Vegas, NV 89129 |
| Enumerated | May 8, 2011 |
| Last updated | February 3, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-110527 (NV) |
| Rehabilitation Practitioner | 225400000X | — |
| Behavior Analyst primary | 103K00000X | 1-21-56396 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.