Provider Demographics
NPI:1841556321
Name:SINNOTT, TIMOTHY BRAIN I (BEHAVIOR ANALYST)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:BRAIN
Last Name:SINNOTT
Suffix:I
Gender:M
Credentials:BEHAVIOR ANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S PAVILION CENTER DR UNIT 2102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1818
Mailing Address - Country:US
Mailing Address - Phone:702-523-5059
Mailing Address - Fax:
Practice Address - Street 1:2601 S PAVILION CENTER DR UNIT 2102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-1818
Practice Address - Country:US
Practice Address - Phone:702-523-5059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBAT042011103K00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst