MEDICARE: SHANAVIA NARIYA WHITT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		NV

General Provider Information

NPI Number	:	1407784127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANAVIA NARIYA WHITT

Provider Business Mailing Address
First Line	:	4650 W OAKEY BLVD APT 1059
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1512
Country	:	US
Telephone Number	:	260-209-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 S RANCHO DR STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4849
Country	:	US
Telephone Number	:	702-998-9505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

Similar Medicare Providers

1770968844 — KAYANA IEISHA-MARIE LEWIS M.S.
Practice Location Address:

630 S RANCHO DR STE A
LAS VEGAS, NV
89106-4849

Practice Phone: 702-998-9505
Practice Fax: 702-527-7939

1295338416 — J ROBERT WEST, M.D., INC
Practice Location Address:

630 S RANCHO DR STE E
LAS VEGAS, NV
89106-4849

Practice Phone: 702-258-1001
Practice Fax: 702-258-8215

1275546590 — MARIO J. GASPAR DE ALBA M.D.
Practice Location Address:

630 S RANCHO DR STE A
LAS VEGAS, NV
89106-4849

Practice Phone: 702-998-9505
Practice Fax: 702-527-7939

1497862809 — FREDERICK DUBOIS
Practice Location Address:

630 S RANCHO DR STE D
LAS VEGAS, NV
89106-4849

Practice Phone: 702-878-2244
Practice Fax:

1275748493 — MS. ROOMAN AHAD M.D.
Practice Location Address:

630 S RANCHO DR STE A
LAS VEGAS, NV
89106-4849

Practice Phone: 702-998-9505
Practice Fax: 702-527-7939

1659587426 — DR. JULIE FOUTZ BEASLEY PH.D.
Practice Location Address:

630 S RANCHO DR STE A
LAS VEGAS, NV
89106-4849

Practice Phone: 702-998-9505
Practice Fax: 702-527-7939

Directions to “ SHANAVIA NARIYA WHITT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.