Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Lightbourne

Individual provider Behavior Analyst · NPI 1649543471

Genesis Lightbourne is a Behavior Analyst in North las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2012.

Licensed in
NV
In the registry since
2012
Specialties on file
3

Practice location Address checks out

3925 Martin Luther King B Ste 212
North las Vegas, NV 89032
Phone: (702) 503-9544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12959-C (NV)
Behavior Analyst Taxonomy 103K00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1649543471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2012
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address1640 E Flamingo Rd, 100, Las Vegas, NV 89119-5249

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