PHYLLIS A TELLIS (NPI# 1932347242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932347242 |
| Entity Type | Individual |
| Full Name | PHYLLIS A TELLIS |
| Practice Address |
3013 N Rancho Dr Ste 127 Las Vegas NV 89130-3349 |
| Practice Telephone | 7026394400 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
NV | Technologists, Technicians & Other Technical Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3013 N RANCHO DR STE 127 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629439021 | Rustin B Munro | Rehabilitation Counselor | 3013 N Rancho Dr Ste 127, Las Vegas, NV 89130-3349 | 2016-03-11 |
| 1437534419 | Cssi Behavioral Health Services LLC | Case Manager/Care Coordinator | 3013 N Rancho Dr Ste 127, Las Vegas, NV 89130-3349 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1376143602 | Debbie Adres Cera | Behavior Technician | 4803 Fuentes Way, Las Vegas, NV 89121-2811 | 2020-10-27 |
| 1679172597 | Dianelys Alvarez Alvarez | Behavior Technician | 4732 Elm Ave, Las Vegas, NV 89110-3521 | 2020-10-21 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| 1871190496 | Ivonne Guadalupe Valencia Blancas | Behavior Technician | 7b Luke Dr, Las Vegas, NV 89115-2608 | 2020-10-06 |
| 1700493384 | Victoria Rose Cornejo | Behavior Technician | 356 N 16th St, Las Vegas, NV 89101-4179 | 2020-09-28 |
| 1396352910 | Arielle Sharma | Behavior Technician | 5575 S Durango Dr Unit 1511, Las Vegas, NV 89113-1833 | 2020-09-28 |
| 1104432376 | Kaitlynn Ashley Kimball | Behavior Technician | 7560 W Sahara Ave Ste 107, Las Vegas, NV 89117-2745 | 2020-09-22 |
| 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.