KELLY DEMOS (NPI# 1114470531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114470531 |
| Entity Type | Individual |
| Full Name | KELLY DEMOS |
| Practice Address |
408 S Jones Blvd Las Vegas NV 89107-2658 |
| Mailing Address |
8716 Castle Ridge Ave Las Vegas NV 89129-8307 |
| Practice Telephone | 7025028021 |
| Mailing Telephone | 3106133997 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | LABA0321 | NV | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1528 Sedro St, Las Vegas, NV 891446813 | 7024961367 |
| Street Address |
408 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313082 | Adryana Desiree Debenedittis | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-10-13 |
| 1184239915 | David Matthew Hipolito Villarey | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-09-09 |
| 1497370779 | Maviley Perez Alvarez | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-06-11 |
| 1225676638 | Diana Lynn Draghi | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-12-16 |
| 1699318055 | Ashlyn Brieanna Duncan | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-10-17 |
| 1992347306 | Kara Hall | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-10-17 |
| 1669014577 | Jose Granados | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-10-11 |
| 1225685274 | Tamba Smith | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-23 |
| 1457907537 | Mikayla Hooper | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-14 |
| 1023664117 | Elizabeth Purdy | Behavior Technician | 408 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696743 | Chynna Ellis | Assistant Behavior Analyst | 5148 Garden Ln Apt A, Las Vegas, NV 89119-1787 | 2020-07-15 |
| 1043835846 | Achieving Independence Consulting | Assistant Behavior Analyst | 12645 Cooks Bay Ct, Las Vegas, NV 89141-6117 | 2020-06-08 |
| 1154944056 | Lashaunta Wilson | Assistant Behavior Analyst | 4550 W Oakey Blvd Ste 100b, Las Vegas, NV 89102-1506 | 2020-05-26 |
| 1265068449 | Robert Henry Schomer Jr. | Assistant Behavior Analyst | 5446 Boulder Hwy Ste 2g, Las Vegas, NV 89122-6070 | 2020-03-19 |
| 1730748179 | Alejanddra Mayorga | Assistant Behavior Analyst | 10230 Deerfield Beach Ave Unit 202, Las Vegas, NV 89129-1080 | 2019-06-10 |
| 1255997896 | Tonishia Childress | Assistant Behavior Analyst | 9012 Embroidery Ave, Las Vegas, NV 89149-0422 | 2019-05-18 |
| 1801359773 | Global Holistic Health Care Services LLC | Assistant Behavior Analyst | 2116 Bachelor Ct, Las Vegas, NV 89128-7620 | 2019-04-08 |
| 1245706126 | Michael Chavez | Assistant Behavior Analyst | 2805 Fremont St, Las Vegas, NV 89104-2213 | 2018-10-18 |
| 1235647686 | Gina Heathmon | Assistant Behavior Analyst | 3440 E Russell Rd # 212, Las Vegas, NV 89120-2201 | 2018-01-19 |
| 1568989457 | Zions Behavioral & Mentoring Services | Assistant Behavior Analyst | 6274 Mount Palomar Ave, Las Vegas, NV 89139-7202 | 2017-08-23 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.