Healthcare Provider Details

I. General information

NPI: 1003374166
Provider Name (Legal Business Name): ALISSANDRE CASIANO MS, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N MARYLAND PKWY
LAS VEGAS NV
89101-3133
US

IV. Provider business mailing address

5353 BRAZELTON ST
NORTH LAS VEGAS NV
89081-2459
US

V. Phone/Fax

Practice location:
  • Phone: 702-789-7282
  • Fax:
Mailing address:
  • Phone: 210-204-4585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA0761
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: