IndividualActive
Keith Stark
NPI 1174887681 · Behavior Analyst · Las Vegas, NV
Keith Stark is a Behavior Analyst provider in Las Vegas, NV (NPI 1174887681).
Provider details
- NPI number
- 1174887681
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3450 E Russell Rd
210
Las Vegas, NV 89120-2201
Phone: (702) 629-4354
Fax: (702) 644-0475
Street-level locationGet directions
Mailing address
10701 S Eastern Ave Apt 2618
Henderson, NV 89052-4901
Registry dates
- Enumerated
- 2012-06-28
- Last updated
- 2018-12-20
Frequently asked questions
- What is Keith Stark's NPI number?
- Keith Stark's National Provider Identifier (NPI) is 1174887681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Stark's specialty?
- Keith Stark is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Keith Stark located?
- Keith Stark's practice location on file with NPPES is 3450 E Russell Rd, Las Vegas, NV 89120-2201.
- What is Keith Stark's phone number?
- The practice phone number listed in the NPPES registry for Keith Stark is (702) 629-4354.
- Is Keith Stark's NPI active?
- Yes — Keith Stark's NPI (1174887681) is active in the NPPES registry as of the last update on 2018-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.