STEPHANIE NICOLE TELLIS (NPI# 1508479007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508479007 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE TELLIS |
| Practice Address |
2550 Nature Park Dr Ste 180 N Las Vegas NV 89084-3205 |
| Mailing Address |
6935 Aliante Pkwy Ste 104-399 North Las Vegas NV 89084-5818 |
| Practice Telephone | 7022022567 |
| Mailing Telephone | 7022022567 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
2550 NATURE PARK DR STE 180 |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89084-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268348 | Janae Muhammad | Behavior Technician | 2550 Nature Park Dr Ste 180, N Las Vegas, NV 89084-3205 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1871122903 | Dion Futch | Behavior Technician | 3940 W Ann Rd Ste 100, N Las Vegas, NV 89031-3845 | 2020-04-01 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1528623691 | Shannon Monique Roberts | Behavior Technician | 6148 Passionate Ct, N Las Vegas, NV 89031-3538 | 2019-05-04 |
| 1285140822 | Laura E Sandoval | Behavior Technician | 1632 Lenwood Ave, N Las Vegas, NV 89030-5200 | 2017-12-19 |
| 1194265017 | Shanel Blackson | Behavior Technician | 4142 Consensus Ct, N Las Vegas, NV 89032-6114 | 2017-02-24 |
| 1487268348 | Janae Muhammad | Behavior Technician | 2550 Nature Park Dr Ste 180, N Las Vegas, NV 89084-3205 | 2020-09-08 |
| 1679104442 | Roy Ricketts | Behavior Technician | 5520 Oatfield St, N Las Vegas, NV 89081-2979 | 2020-01-30 |
| 1669961462 | Briana Tino | Behavior Technician | 3560 W Cheyenne Ave Ste 120, N Las Vegas, NV 89032-8261 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174528 | Next Step | Behavior Technician | 3000 High View Drive, #921, Henderson, NV 89014-3797 | 2020-11-06 |
| 1750982542 | Claudia Ayala | Behavior Technician | 3633 Lakeside Villas Ave, North Las Vegas, NV 89081-4051 | 2020-11-06 |
| 1194326058 | Funxional Solutions | Behavior Technician | 926 Dawn Valley Dr, North Las Vegas, NV 89031-6608 | 2020-11-05 |
| 1265033146 | Next Step | Behavior Technician | 3000 High View Dr Apt 611, Henderson, NV 89014-3796 | 2020-11-05 |
| 1417558503 | Ramona Toombs | Behavior Technician | 3070 S Nellis Blvd Apt 1158, Las Vegas, NV 89121-2059 | 2020-11-04 |
| 1821699448 | Adjoa Jacques | Behavior Technician | 6086 Denton Ranch Rd, Las Vegas, NV 89131-3127 | 2020-11-02 |
| 1497355119 | Johanna Stephenson | Behavior Technician | 7401 Royal Crystal St, Las Vegas, NV 89149-0168 | 2020-10-30 |
| 1063012094 | Monika Elizabeth Briones | Behavior Technician | 1922 Spode Ave, Henderson, NV 89014-3794 | 2020-10-28 |
| 1609476993 | Christopher Robert Harmon | Behavior Technician | 4050 Nancy St, Winnemucca, NV 89445-4012 | 2020-10-27 |
| 1376143602 | Debbie Adres Cera | Behavior Technician | 4803 Fuentes Way, Las Vegas, NV 89121-2811 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | N LAS VEGAS |
| Zip Code | 89084 |
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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.