KRISSANEE HOLTZCLAW (NPI# 1376039552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376039552 |
| Entity Type | Individual |
| Full Name | KRISSANEE HOLTZCLAW |
| Practice Address |
5575 S Durango Dr Ste 102 Las Vegas NV 89113-1834 |
| Practice Telephone | 7022093544 |
| Mailing Telephone | 7022093544 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | LBA0316 | NV | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-20-42460 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1376039552 | 05 |
| Street Address |
5575 S DURANGO DR STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285001701 | Kristine Joy Cortez | Behavioral Analyst | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113 | 2015-09-01 |
| 1932706249 | Kyle Robert Taylor | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-10-08 |
| 1164040747 | Kayla Horvath | Behavioral Analyst | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-07-09 |
| 1629695549 | Tiffany Akai | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-06-26 |
| 1235756271 | Taryn Marisa Bearden | Behavioral Analyst | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-06-25 |
| 1154948115 | Skylar Brooke Collins | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-06-25 |
| 1487270724 | Shelly Shae Laman | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-06-23 |
| 1851923114 | Vicky Carreno | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-02-05 |
| 1912538224 | China Maxwell | Behavior Technician | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-01-27 |
| 1952940397 | Niya Davis-madrid | Behavioral Analyst | 5575 S Durango Dr Ste 102, Las Vegas, NV 89113-1834 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889963 | Acacia Ravon Mccrea | Behavioral Analyst | 7351 W Charleston Blvd Unit 102, Las Vegas, NV 89117-1502 | 2020-10-19 |
| 1821696287 | Marilyn Hutcherson | Behavioral Analyst | 4185 Vegas Valley Dr Ste B, Las Vegas, NV 89121-2522 | 2020-10-16 |
| 1952909608 | Lissette Marie Saenz | Behavioral Analyst | 9700 W Sunset Rd Apt 2009, Las Vegas, NV 89148-4799 | 2020-10-14 |
| 1134727910 | Songbird Health Nv LLC | Behavioral Analyst | 5940 S Rainbow Blvd Ste 400, Las Vegas, NV 89118-2507 | 2020-10-13 |
| 1548867955 | Nv Mc Sprout 1 LLC | Behavioral Analyst | 8465 W Sahara Ave Ste 111, Las Vegas, NV 89117-8902 | 2020-10-08 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1215544317 | Specialized Care Services LLC | Behavioral Analyst | 5615 Cameron St Ste 9, Las Vegas, NV 89118-2233 | 2020-09-23 |
| 1629681291 | A Wright Mind, LLC | Behavioral Analyst | 1810 E Sahara Ave # 113, Las Vegas, NV 89104-3707 | 2020-08-25 |
| 1861000184 | Rhonda Renee Murphy | Behavioral Analyst | 4664 Sand Creek Ave Apt A, Las Vegas, NV 89103-1535 | 2020-07-22 |
| 1801413539 | Mattie Simpson | Behavioral Analyst | 2500 W Washington Ave Bldg B, Las Vegas, NV 89106-3731 | 2020-06-29 |
| 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.