{
"Npi": {
"NPI": "1386391050",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEVADA AUTISM CENTER",
"LastName": "Rainford",
"FirstName": "Chantal",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "BACB",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7730 West Sahara Avenue 115",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "Las Vegas",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89117",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "(702) 660-2005",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7730 West Sahara Avenue 115",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "Las Vegas",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89117",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "(702) 660-2005",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/03/2022",
"LastUpdateDate": "03/03/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": "F",
"AuthorizedOfficialLastName": "KOGAN",
"AuthorizedOfficialFirstName": "VLADIMIR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "646-598-7765",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103K00000X",
"TaxonomyName": "Behavioral Analyst",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}